Active NPI
Crystal Poole, LMSW
- Social Worker
- Baltimore, MD
National Provider Identifier
1366182933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 23581
- Practice address
- 107 E 25TH St
Baltimore, MD 21218-5213 - Phone
- (410) 558-0032
- NPI assigned
- Mar 31, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 23581 | MD | Primary |
Addresses
Primary practice location
107 E 25TH St
Baltimore, MD 21218-5213
Mailing address
4751 Clairelee Dr
Owings Mills, MD 21117-4758
Phone (443) 529-2376
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23581 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648684800000",
"number": "1366182933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4751 CLAIRELEE DR",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211174758",
"telephone_number": "443-529-2376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 E 25TH ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212185213",
"telephone_number": "410-558-0032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POOLE",
"first_name": "CRYSTAL",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-31",
"last_updated": "2022-03-31",
"certification_date": "2022-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "23581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.