CRYSTAL DAVIS (NPI# 1427560747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427560747 |
| Entity Type | Individual |
| Full Name | CRYSTAL DAVIS |
| Credential | LCSWA |
| Practice Address |
416 West Ridge Street Rose Hill NC 28458 |
| Mailing Address |
Po Box 880 Rose Hill NC 28458-0880 |
| Practice Telephone | 9102892610 |
| Practice Fax Number | 9102894410 |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2017-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669963708 | Crystal Leigh Davis | Counselor | 43 Leopard Rd Ste 203, Paoli, PA 19301-1552 | 2018-05-24 |
| 1144731365 | Crystal Dawn Davis | Pharmacist | 3501 36th Ave Nw, Norman, OK 73072-2429 | 2017-10-15 |
| 1801268313 | Crystal Davis | Counselor | 2210 Line Ave Ste 207, Shreveport, LA 71104-2134 | 2015-10-22 |
| 1558750349 | Crystal Davis | Occupational Therapy Assistant | 6932 County Road 1215, Flint, TX 75762-9176 | 2015-01-15 |
| 1154738573 | Crystal Davis | Registered Nurse | 20129 Tracey St, Detroit, MI 48235-1570 | 2014-07-17 |
| 1427300516 | Crystal Mary Davis | Counselor | 15 Adna Rd, Bristol, CT 06010-2719 | 2012-10-12 |
| 1184802712 | Crystal Renee Davis | Physician Assistant | 4963 W. 135th St, Leawood, KS 66224 | 2008-02-06 |
| 1417002064 | Crystal L Davis | Massage Therapist | 139 1st Ave. Sw, Castle Rock, WA 98611 | 2007-01-24 |
| 1518501741 | Crystal Davis | Behavior Technician | 6200 Virginia Pkwy, Mckinney, TX 75071-5504 | 2019-10-31 |
| 1033681523 | Crystal Nichole Davis | Dental Assistant | 7525 N Cedar Ave Ste 105, Fresno, CA 93720-2698 | 2018-12-20 |
| Street Address |
416 WEST RIDGE STREET |
| City | ROSE HILL |
| State | NC |
| Zip Code | 28458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912032475 | New Dimension Group, LLC | Community/Behavioral Health | 416 West Ridge Street, Rose Hill, NC 28458-7412 | 2007-02-23 |
| 1720535206 | Lekeshia Harless Mathis | Social Worker | 416 West Ridge Street, Rose Hill, NC 28458-0880 | 2016-09-01 |
| 1780928176 | Katrina Seferyn | Social Worker | 416 West Ridge Street, Rose Hill, NC 28458 | 2012-11-26 |
| 1700031788 | New Dimension Group | Psychiatry & Neurology | 416 West Ridge Street, Rose Hill, NC 28458-0880 | 2008-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790395457 | Changing Paths of Nc 2 LLC | Substance Abuse Rehabilitation Facility | 150 Cedar Ln, Rose Hill, NC 28458 | 2020-08-06 |
| 1487211827 | Teondra Bannerman | Counselor | 318 S Sycamore St, Rose Hill, NC 28458 | 2019-05-21 |
| 1619440633 | Tiara Fennell | Marriage & Family Therapist | 871 Pasture Branch Rd., Rose Hill, NC 28458 | 2019-01-03 |
| 1275011975 | Karen Brown | Counselor | 416 W Ridge Street, Rose Hill, NC 28458 | 2018-08-03 |
| 1831613306 | Rosehill Opco, LLC | Assisted Living Facility | 571 S Sycamore St, Rose Hill, NC 28458 | 2017-07-27 |
| 1093268146 | La Voncia Regan Peterson | Social Worker | 416 W. Ridge St, Rose Hill, NC 28458 | 2016-07-25 |
| 1952775546 | Pamela Bannerman-smith | Counselor | 319 N Sycamore St, Rose Hill, NC 28458 | 2015-11-19 |
| 1225402019 | Jessamyn Lynn Angelastro | Social Worker | 416 W Ridge St., Rose Hill, NC 28458 | 2015-11-17 |
| 1891078168 | Ernest Chester Jones Jr. | Pharmacist | 210 North Sycamore, Rose Hill, NC 28458 | 2011-09-23 |
| 1447551965 | New Dimension Group | Community/Behavioral Health | 416 West Ridge St., Rose Hill, NC 28458 | 2010-11-15 |
| Find all providers in zip 28458 | ||||
| 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 |
|---|---|---|---|---|
| 1093268146 | La Voncia Regan Peterson | Social Worker | 416 W. Ridge St, Rose Hill, NC 28458 | 2016-07-25 |
| 1225402019 | Jessamyn Lynn Angelastro | Social Worker | 416 W Ridge St., Rose Hill, NC 28458 | 2015-11-17 |
| 1427434729 | Laura Jane Acosta | Social Worker | 416 West Ridge St, Rose Hill, NC 28458-7733 | 2015-08-10 |
| 1134453509 | Janet Elizabeth Kohler | Social Worker | 416 W Ridge St, Rose Hill, NC 28458-0880 | 2009-10-01 |
| 1720535206 | Lekeshia Harless Mathis | Social Worker | 416 West Ridge Street, Rose Hill, NC 28458-0880 | 2016-09-01 |
| 1780928176 | Katrina Seferyn | Social Worker | 416 West Ridge Street, Rose Hill, NC 28458 | 2012-11-26 |
| 1275893851 | Amanda Jerrusia Stuart | Social Worker | 416 W. Ridge St., Rose Hill, NC 28458 | 2012-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881887 | Lillian Jean Goodkind | Social Worker | 68 N French Broad Ave, Asheville, NC 28801-2600 | 2020-11-05 |
| 1770184657 | Delia Hearon | Social Worker | 100 Village Circle Way Apt 216, Durham, NC 27713-6131 | 2020-11-05 |
| 1346841459 | Mickaella Ann Moser | Social Worker | 3030 Adams Blvd Apt 13, Greenville, NC 27858-4840 | 2020-11-04 |
| 1750981346 | Tarsha M. Hall | Social Worker | 645 Spruce Garden Ct, Rural Hall, NC 27045-9159 | 2020-11-01 |
| 1184224727 | Kwanza Suzanne Winn | Social Worker | 2510 Hope Way Ln Apt 202, Charlotte, NC 28262-6955 | 2020-10-30 |
| 1164022570 | Directional Care Community Services LLC. | Social Worker | 6220 Sid Crane Dr, Charlotte, NC 28216-7684 | 2020-10-27 |
| 1295335602 | Macie Whitlow | Social Worker | 1825 W City Dr Ste A&b, Elizabeth City, NC 27909-9675 | 2020-10-27 |
| 1689274011 | Ashleigh Weckesser | Social Worker | 216 Reams Dr, Middlesex, NC 27557-8650 | 2020-10-26 |
| 1750980256 | Victoria Snow | Social Worker | 504 E Pettigrew St Apt 449, Durham, NC 27701-3888 | 2020-10-26 |
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CRYSTAL DAVIS.
| 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.