CRYSTAL ALEXANDRIA RILEY (NPI# 1073132049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073132049 |
| Entity Type | Individual |
| Full Name | CRYSTAL ALEXANDRIA RILEY |
| Credential | LCSW |
| Practice Address |
6535 Nemours Pkwy Orlando FL 32827-7884 |
| Mailing Address |
10140 Centurion Pkwy N Jacksonville FL 32256-0532 |
| Practice Telephone | 4076507000 |
| Practice Fax Number | 4075675924 |
| Mailing Telephone | 9046974000 |
| Mailing Fax Number | 9046975102 |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2020-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | SW17090 | FL | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW17090 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952694291 | Crystal Riley | Technician, Other | 2100 Magnolia Ave, Long Beach, CA 90806-4522 | 2011-05-19 |
| 1497235147 | Crystal Joy Riley | Licensed Vocational Nurse | 8610 N New Braunfels Ave Ste 405, San Antonio, TX 78217-6358 | 2018-08-21 |
| 1982109021 | Crystal Riley | Dietitian, Registered | 601 E Main St, Hart, MI 49420-1144 | 2018-03-29 |
| 1578957585 | Crystal Riley | Physician Assistant | 504 E Ridgeville Blvd, Suite 110, Mount Airy, MD 21771-5942 | 2015-03-27 |
| 1639343080 | Crystal Martin Riley | Counselor | 3181 Sw Sam Jackson Park Rd, Uhn88 Ohsu, Portland, OR 97239-3011 | 2008-04-16 |
| Street Address |
6535 NEMOURS PKWY |
| City | ORLANDO |
| State | FL |
| Zip Code | 32827-7884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740268077 | Daniel Jay Podberesky | Radiology | 6535 Nemours Pkwy, Orlando, FL 32827-7884 | 2006-01-06 |
| 1700496171 | Meghan Alexandra Moberly | Pediatrics | 6535 Nemours Pkwy, Orlando, FL 32827-7884 | 2020-07-31 |
| 1073139812 | Lynn Anna O'boyle | Audiologist | 6535 Nemours Pkwy, Orlando, FL 32827-7884 | 2020-06-17 |
| 1730704800 | Charlene Seraphina Dodson | Student in an Organized Health Care Education/Training Program | 6535 Nemours Pkwy, Orlando, FL 32827-7884 | 2020-06-14 |
| 1609491851 | Arianna Ahiagbe | Student in an Organized Health Care Education/Training Program | 6535 Nemours Pkwy, Orlando, FL 32827-7884 | 2020-06-13 |
| 1760007371 | Kirstie Boykin | Student in an Organized Health Care Education/Training Program | 6535 Nemours Pkwy, Orlando, FL 32827-7884 | 2020-06-09 |
| 1043835689 | Shelby Alexis Sievers | Student in an Organized Health Care Education/Training Program | 6535 Nemours Pkwy, Orlando, FL 32827-7884 | 2020-06-09 |
| 1053935999 | Akrishon Lachapell Kirk | Student in an Organized Health Care Education/Training Program | 6535 Nemours Pkwy, Orlando, FL 32827-7884 | 2020-06-06 |
| 1053935767 | Monet Danielle Winslow | Student in an Organized Health Care Education/Training Program | 6535 Nemours Pkwy, Orlando, FL 32827-7884 | 2020-05-29 |
| 1770107344 | Rowana Mohamed | Student in an Organized Health Care Education/Training Program | 6535 Nemours Pkwy, Orlando, FL 32827-7884 | 2020-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710515408 | Guru Nandha Raja Chinnaraj | Student in an Organized Health Care Education/Training Program | 6850 Lake Nona Boulevard, Orlando, FL 32827 | 2020-03-30 |
| 1669030037 | Makris Dental LLC | Dentist | 13250 Narcoossee Road, Orlando, FL 32827 | 2019-05-31 |
| 1174016265 | Heather Marinello | Audiologist | Orlando Va Medical Center- Audiology Department, 13800 Veterans Way, Orlando, FL 32827 | 2018-06-13 |
| 1316445471 | Adventist Health System/sunbelt Inc. | Clinic/Center | 9637 Lake Nona Village Pl., Orlando, FL 32827 | 2018-01-24 |
| 1578077335 | Seyla Counseling Inc | Psychologist | 6900 Tanrsrock Lake Blvd Suite 400, Orlando, FL 32827 | 2017-11-30 |
| 1013426188 | Valerie Anne Farrell | Social Worker | 13800 Veteran's Way, Bldg 9, Orlando, FL 32827 | 2017-09-21 |
| 1568981256 | Aneal Ansar Ahmed | Pharmacist | 6550 Sanger Road, University of Florida, Orlando, FL 32827 | 2017-09-13 |
| 1083132575 | Lindey Christine Bartolucci | Psychologist | 13800 Veterans Way Fl 2, Orlando, FL 32827 | 2017-09-05 |
| 1396299087 | Leah Sheehey-hampton | Counselor | 600 Tavistock Lakes Blvd, Suite 400, Orlando, FL 32827 | 2016-08-10 |
| 1972919272 | Scott Sakowitz | Dentist | 9161 Narcoossee Rd Ste 105b, Orlando, FL 32827 | 2014-07-08 |
| Find all providers in zip 32827 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619772 | Nichole Goff | Social Worker | 12151 Waterstone Ct Apt 826, Orlando, FL 32825-7035 | 2020-11-07 |
| 1902405830 | Tejah Carbone | Social Worker | 2630 S Tanner Rd, Orlando, FL 32820-1202 | 2020-10-21 |
| 1871192013 | Benjamin Jose Medina | Social Worker | 5850 T G Lee Blvd Ste 400, Orlando, FL 32822-4409 | 2020-10-19 |
| 1679171821 | Gabriela C Soto | Social Worker | 3320 Pelham Rd, Orlando, FL 32803-1034 | 2020-10-10 |
| 1588261663 | Paria Maghsoudi | Social Worker | 12198 Sumter Dr, Orlando, FL 32824-7362 | 2020-10-02 |
| 1861007833 | Sabrina Crim | Social Worker | 1611 Natchez Trace Blvd, Orlando, FL 32818-9038 | 2020-09-15 |
| 1326651001 | Serenity Health & Consulting | Social Worker | 5091 Shale Ridge Trl, Orlando, FL 32818-8752 | 2020-08-24 |
| 1770101206 | Choose Joy Therapy, LLC | Social Worker | 1235 Mount Vernon St, Orlando, FL 32803-5417 | 2020-07-10 |
| 1326664897 | Stephanie Jean | Social Worker | 11806 Meadow Branch Dr Apt 717, Orlando, FL 32825-5062 | 2020-06-22 |
| 1710501077 | Chelsie Meredith | Social Worker | 4324 Stonewall Dr, Orlando, FL 32812-7940 | 2020-06-02 |
| Find all providers in ORLANDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.