Crystal Jean Holman, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Hamlet, North Carolina. Her current practice location is
526 Springhill Church Rd, Hamlet, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 465-7194.
Crystal Jean Holman 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 Holman |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 526 Springhill Church Rd, Hamlet, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1245487149
- Provider Enumeration Date: 08/21/2008
- Last Update Date: 06/19/2018
Medicare PECOS Information:
- PECOS PAC ID: 5991029233
- Enrollment ID: I20150115001338
Medical Identifiers
Medical identifiers for Crystal Jean Holman 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 Holman 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 Holman, LCSW 526 Springhill Church Rd, Hamlet, NC 28345-7044 Ph: (910) 465-7194 | Crystal Jean Holman, LCSW 526 Springhill Church Rd, Hamlet, NC 28345 Ph: (910) 465-7194 |
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