Crystal Marie Le, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

21755 Issued in FL

Practice address

5203 52ND Ave W
Bradenton, FL 34210-4709

Phone

(619) 339-3644

NPI assigned

Jun 1, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• True Nature Therapy Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1003136037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5203 52ND AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342104709",
            "telephone_number": "619-339-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5203 52ND AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342104709",
            "telephone_number": "619-339-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "CRYSTAL",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-01",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "60521",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "127410",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "21755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRUE",
            "last_name": "THERAPY",
            "middle_name": "NATURE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Benjamin Makeham Lawson, M.S., CCC-SLP
• Jamie Sue Lawson, OD
• Kenneth Wayne Lawson, OD
• Chantel Lawton, LMT
• Andres Manuel Lazaro, DDS
• Giau Thuy Le, PHARMD
• Thy Phuong Le, PHARMD
• Marta Cecelia Leach, RN
• Timmonica Alisha Leach
• Jorge Enrique Leal Jr., MD

• Clinical Social Worker in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.