| Crystal Davis, LCSWA | |
|
416 West Ridge Street, Rose Hill, NC 28458 | |
| (910) 289-2610 | |
| (910) 289-4410 |
| Full Name | Crystal Davis |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 416 West Ridge Street, Rose Hill, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427560747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Entity Name | New Dimension Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912032475 PECOS PAC ID: 0547337123 Enrollment ID: O20080923000800 |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Davis, LCSWA Po Box 880, Rose Hill, NC 28458-0880 Ph: () - | Crystal Davis, LCSWA 416 West Ridge Street, Rose Hill, NC 28458 Ph: (910) 289-2610 |
Janet Elizabeth Kohler, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 416 W Ridge St, Rose Hill, NC 28458 Phone: 910-289-2610 Fax: 910-289-4410 | |
Ms. Jessamyn Lynn Angelastro, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 416 W Ridge St., Rose Hill, NC 28458 Phone: 910-289-2610 | |
Mrs. Amanda Jerrusia Stuart, MSW, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 416 W. Ridge St., Rose Hill, NC 28458 Phone: 910-289-2610 | |
Laura Jane Acosta, MSSW, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 416 West Ridge St, Rose Hill, NC 28458 Phone: 910-289-2610 Fax: 910-289-4410 |