Crystal Jean Carraway, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Camden, South Carolina. Her current practice location is
119 Seegars Mill Rd, Camden, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 465-7194.
Crystal Jean Carraway is licensed to practice in North Carolina (license number C007363) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1245487149.
Healthcare Provider's Profile
| Full Name | Crystal Jean Carraway |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 119 Seegars Mill Rd, Camden, South Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1245487149
- Provider Enumeration Date: 08/21/2008
- Last Update Date: 08/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 5991029233
- Enrollment ID: I20150115001338
Medical Identifiers
Medical identifiers for Crystal Jean Carraway such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245487149 | NPI | - | NPPES |
| 6007917 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | LSW7948 (Tennessee) | Secondary |
| 1041C0700X | Social Worker - Clinical | P005548 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | C007363 (North Carolina) | 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 Jean Carraway is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Crystal Jean Carraway, LCSW
119 Seegars Mill Rd,
Camden, SC 29020-8129
Ph: (910) 465-7194 | Crystal Jean Carraway, LCSW
119 Seegars Mill Rd,
Camden, SC 29020-8129
Ph: (910) 465-7194 |
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