Leola E Crissman, is a
Social Worker - Clinical based in Ventura, California. Leola E Crissman is licensed to practice in California (license number ) and her current practice location is
260 Maple Ct Ste 265, Ventura, California. She can be reached at her office (for appointments etc.) via phone at
(805) 625-2244.
NPI number for Leola E Crissman is 1134794647 and her current mailing address is 144 Rainbow Dr, Oxnard, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134794647.
Healthcare Provider's Profile
| Full Name | Leola E Crissman |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 260 Maple Ct Ste 265, Ventura, California |
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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: 1134794647
- Provider Enumeration Date: 05/26/2021
- Last Update Date: 11/10/2022
Medical Identifiers
Medical identifiers for Leola E Crissman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134794647 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (California) | 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. Leola E Crissman 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 |
|---|
Leola E Crissman,
144 Rainbow Dr,
Oxnard, CA 93033-6922
Ph: (805) 290-5002 | Leola E Crissman,
260 Maple Ct Ste 265,
Ventura, CA 93003-3572
Ph: (805) 625-2244 |
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