MRS. CRYSTAL EVON PANKEY (NPI# 1568939239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568939239 |
| Entity Type | Individual |
| Full Name | MRS. CRYSTAL EVON PANKEY |
| Practice Address |
1705 Woodland St Ne Warren OH 44483-5348 |
| Practice Telephone | 3304696777 |
| Practice Fax Number | 3304696779 |
| Mailing Telephone | 3304696777 |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2018-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | S.1302183 | OH | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1705 Woodland St Ne, Warren, OH 444835348 | 3304696777 | 3304696779 |
| Street Address |
1705 WOODLAND ST NE |
| City | WARREN |
| State | OH |
| Zip Code | 44483-5348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871082115 | Thrive Counseling LLC | Counselor | 1705 Woodland St Ne, Warren, OH 44483-5348 | 2018-05-02 |
| 1962001982 | Lauren Elizabeth Berger | Counselor | 1705 Woodland St Ne, Warren, OH 44483-5348 | 2020-10-21 |
| 1306458245 | Mario Dwayne Hainesworth | Counselor | 1705 Woodland St Ne, Warren, OH 44483-5348 | 2020-08-21 |
| 1235754052 | Adam Lonardo | Counselor | 1705 Woodland St Ne, Warren, OH 44483-5348 | 2020-06-09 |
| 1932739216 | Shavelle Marie Lakovich | Counselor | 1705 Woodland St Ne, Warren, OH 44483-5348 | 2020-01-25 |
| 1457917601 | Demari Brown | Social Worker | 1705 Woodland St Ne, Warren, OH 44483-5348 | 2019-05-14 |
| 1699246116 | Thrive Counseling LLC | Counselor | 1705 Woodland St Ne, Warren, OH 44483-5348 | 2018-12-10 |
| 1649747411 | Summer Angel Ellis | Counselor | 1705 Woodland St Ne, Warren, OH 44483-5348 | 2018-10-30 |
| 1083180921 | Linda Sue Lopez | Counselor | 1705 Woodland St Ne, Warren, OH 44483-5348 | 2018-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417572850 | Kimberly Lee Slater | Peer Specialist | 709 Mahoning Ave Nw, Warren, OH 44483 | 2020-06-11 |
| 1083239792 | Krutarth Kandarp Pandya | Student in an Organized Health Care Education/Training Program | 1350 East Market Street 7th Floor, Warren, OH 44483 | 2020-06-09 |
| 1902435738 | Peter Alexander Iskander | Student in an Organized Health Care Education/Training Program | 1350 E Market Street, 7th Floor, Warren, OH 44483 | 2020-04-03 |
| 1093344822 | Matthew Jacob | Student in an Organized Health Care Education/Training Program | 1350 East Market Street, 7th Floor, Warren, OH 44483 | 2020-04-03 |
| 1306309638 | Sameer Raj Joshi | Student in an Organized Health Care Education/Training Program | 1350 East Market Street, Warren, OH 44483 | 2019-04-12 |
| 1336619964 | Alexis Valentino | Nurse Practitioner | 247 Oak Knoll Se, Warren, OH 44483 | 2018-11-27 |
| 1538656921 | Biswaraj Tharu | Student in an Organized Health Care Education/Training Program | 1350 East Market Street, Trumbull Regional Medical Cent, Warren, OH 44483 | 2018-04-20 |
| 1790216448 | Jeannie Gurich | Substance Abuse Rehabilitation Facility | 2737 Youngstown Warren Rd. Se, Warren, OH 44483 | 2017-03-24 |
| 1205388634 | Laurie L Horvath | Midwife | 1651 E Market, Warren, OH 44483 | 2016-11-02 |
| 1235586264 | Travis Robert Dickey | Physical Therapist | 4329 Mahoning Ave. Nw, Warren, OH 44483 | 2016-05-19 |
| Find all providers in zip 44483 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124630777 | Chante Renee Jackson | Social Worker | 28082 Hoover Rd Apt 3, Warren, MI 48093-4166 | 2020-08-17 |
| 1871123638 | Resheta Sade Eggleston | Social Worker | 2833 Red Fox Run Dr Nw, Warren, OH 44485-1573 | 2020-01-21 |
| 1639711708 | Alexandra Ash | Social Worker | 6 Asylum Rd, Warren, RI 02885-1718 | 2019-10-10 |
| 1548818461 | Lauren Louise Wimer | Social Worker | 2282 Reeves Road Ne, Warren, OH 44483-4354 | 2019-09-04 |
| 1285287862 | Zenobia Kindle-davis | Social Worker | 22804 Sharrow Ave, Warren, MI 48089-2882 | 2019-07-22 |
| 1083180640 | Rakaiya Peterman | Social Worker | 138 Kenmore Ave Se, Warren, OH 44483-6157 | 2018-10-22 |
| 1700366614 | Jamila Ebony Provitt | Social Worker | 2671 Youngstown Rd Se, Warren, OH 44484-4404 | 2018-08-20 |
| 1659857993 | Elizabeth Tanner-horn | Social Worker | 72 Woodville Rd, Warren, CT 06777-1202 | 2018-07-18 |
| 1578051876 | Melissa Ann Emery | Social Worker | 160 Clifton Dr Ne Ste 1, Warren, OH 44484-1899 | 2018-04-23 |
| 1295239291 | Derrick L Mason | Social Worker | 605 Oriole Pl Sw, Warren, OH 44485-3638 | 2018-03-23 |
| Find all providers in WARREN | ||||
Please comment or provide details below to improve the information on MRS. CRYSTAL EVON PANKEY.
| 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.