Ms Crystal A Smith, IMFT, LCSW, IBHC is a
Social Worker - Clinical based in Oak Lawn, Illinois. Ms Crystal A Smith is licensed to practice in Illinois (license number 149014748) and her current practice location is
10448 S Pulaski Rd, Suite 4, Oak Lawn, Illinois. She can be reached at her office (for appointments etc.) via phone at
(312) 834-3697.
NPI number for Ms Crystal A Smith is 1871873893 and her current mailing address is 1342 W Taylor St Unit 302, Chicago, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871873893.
Healthcare Provider's Profile
Full Name | Ms Crystal A Smith |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 10448 S Pulaski Rd, Oak Lawn, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1871873893
- Provider Enumeration Date: 08/22/2011
- Last Update Date: 01/05/2020
Medical Identifiers
Medical identifiers for Ms Crystal A Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871873893 | NPI | - | NPPES |
8367001 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | LPC-125 (Guam) | Secondary |
1041C0700X | Social Worker - Clinical | LCSW-4503 (Hawaii) | Secondary |
1041C0700X | Social Worker - Clinical | CW019175 (Pennsylvania) | Secondary |
106H00000X | Marriage & Family Therapist | GU-125 (Guam) | Secondary |
171000000X | Military Health Care Provider | IBHC (Guam) | Secondary |
1041C0700X | Social Worker - Clinical | 149014748 (Illinois) | 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. Ms Crystal A Smith 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 |
Ms Crystal A Smith, IMFT, LCSW, IBHC 1342 W Taylor St Unit 302, Chicago, IL 60607-4705 Ph: (312) 554-9934 | Ms Crystal A Smith, IMFT, LCSW, IBHC 10448 S Pulaski Rd, Suite 4, Oak Lawn, IL 60453-4895 Ph: (312) 834-3697 |
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