Crystal Nicole Whetstone, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW008160 Issued in GA

Practice address

524 S Houston Lake Rd Ste 100
Warner Robins, GA 31088-9027

Phone

(478) 217-5924

Fax

(478) 216-3437

NPI assigned

Sep 17, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1174173553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 S HOUSTON LAKE RD STE 100",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310889027",
            "telephone_number": "478-217-5924",
            "fax_number": "478-216-3437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 S HOUSTON LAKE RD STE 100",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310889027",
            "telephone_number": "478-217-5924",
            "fax_number": "478-216-3437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHETSTONE",
        "first_name": "CRYSTAL",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-17",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW008160",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW008535",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.