Crystal Rae Nielsen, MSW is a
Student In An Organized Health Care Education/training Program based in Crescent City, California. Crystal Rae Nielsen is licensed to practice in * (Not Available) (license number ) and her current practice location is
5905 Lake Earl Dr, Crescent City, California. She can be reached at her office (for appointments etc.) via phone at
(707) 954-6141.
NPI number for Crystal Rae Nielsen is 1609554765 and her current mailing address is 5905 Lake Earl Dr, Crescent City, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1609554765.
Healthcare Provider's Profile
| Full Name | Crystal Rae Nielsen |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 5905 Lake Earl Dr, Crescent City, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1609554765
- Provider Enumeration Date: 07/10/2023
- Last Update Date: 07/27/2023
Medical Identifiers
Medical identifiers for Crystal Rae Nielsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609554765 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 100084 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Crystal Rae Nielsen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Crystal Rae Nielsen, MSW
5905 Lake Earl Dr,
Crescent City, CA 95532-0001
Ph: (707) 465-1000 | Crystal Rae Nielsen, MSW
5905 Lake Earl Dr,
Crescent City, CA 95532-0002
Ph: (707) 954-6141 |
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