| Krystal West, LCSW | |
|
4345 Palisades Place Dr, Stonecrest, GA 30038-6146 | |
| (678) 421-4848 | |
| Not Available |
| Full Name | Krystal West |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 4345 Palisades Place Dr, Stonecrest, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902559859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW007901 (Georgia) | Primary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220315000829 |
| Mailing Address | Practice Location Address |
|---|---|
| Krystal West, LCSW 4345 Palisades Place Dr, Stonecrest, GA 30038-6146 Ph: (256) 527-3164 | Krystal West, LCSW 4345 Palisades Place Dr, Stonecrest, GA 30038-6146 Ph: (678) 421-4848 |
Paul Mccoy, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2173 Flying Spur Dr, Stonecrest, GA 30058 Phone: 470-844-1362 | |
Ms. Racquel Casandra Gayle, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3579 Drayton Pl, Stonecrest, GA 30038 Phone: 678-751-1421 | |
Darcell Rasmussen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3356 Deevers Ct, Stonecrest, GA 30038 Phone: 847-504-6226 |