Crystal Adams, MSW, LCSW
Social Worker, Clinical in Jacksonville, FL. Individual provider (NPI-1).
NPI number1720473283
StatusActive
Last updated in NPPESFeb 10, 2020
Details
- NPI
- 1720473283
- Entity type
- Individual (NPI-1)
- Name
- Crystal Adams
- Credential
- MSW, LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 1, 2015
- Certification date
- Feb 10, 2020
- Last updated
- Feb 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | SW16170 | FL | Yes |
| 1041C0700X | Social Worker, Clinical | ISW 9468 | FL |
Practice location
15255 Max Leggett PkwyJacksonville, FL 32218-7273
Phone 904-383-1015
Mailing address
11778 Alexandra DrJacksonville, FL 32218-8875
Phone 646-234-5916
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