Crystal Childress, is a
Social Worker based in Richmond, Kentucky. Crystal Childress is licensed to practice in Kentucky (license number 3731) and her current practice location is
1042 Center Dr, Richmond, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(859) 575-1518.
NPI number for Crystal Childress is 1013455138 and her current mailing address is 1042 Center Dr, Richmond, Kentucky. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013455138.
Healthcare Provider's Profile
| Full Name | Crystal Childress |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 1042 Center Dr, Richmond, Kentucky |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1013455138
- Provider Enumeration Date: 02/09/2017
- Last Update Date: 02/09/2017
Medical Identifiers
Medical identifiers for Crystal Childress such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013455138 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 3731 (Kentucky) | 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 Childress 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 Childress,
1042 Center Dr,
Richmond, KY 40475-3838
Ph: () - | Crystal Childress,
1042 Center Dr,
Richmond, KY 40475-3838
Ph: (859) 575-1518 |
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