Crystal Lynn Harris, LCSW is a
Social Worker - Clinical based in Hurlburt Field, Florida. Crystal Lynn Harris is licensed to practice in Virginia (license number 0904010057) and her current practice location is
113 Lielmanis Ave, Hurlburt Field, Florida. She can be reached at her office (for appointments etc.) via phone at
(850) 884-4476.
NPI number for Crystal Lynn Harris is 1205352481 and her current mailing address is 113 Lielmanis Ave, Hurlburt Field, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205352481.
Healthcare Provider's Profile
| Full Name | Crystal Lynn Harris |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
|---|
| Location | 113 Lielmanis Ave, Hurlburt Field, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1205352481
- Provider Enumeration Date: 08/18/2017
- Last Update Date: 10/10/2024
Medical Identifiers
Medical identifiers for Crystal Lynn Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205352481 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0710102890 (Virginia) | Secondary |
| 1041C0700X | Social Worker - Clinical | 0904010057 (Virginia) | 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 Lynn Harris 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 Lynn Harris, LCSW
113 Lielmanis Ave,
Hurlburt Field, FL 32544-5613
Ph: () - | Crystal Lynn Harris, LCSW
113 Lielmanis Ave,
Hurlburt Field, FL 32544-5613
Ph: (850) 884-4476 |
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