Active NPI
Arlene B Crystal, LCSW
- Clinical Social Worker
- Oakland Park, FL
National Provider Identifier
1366623019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW5437
- Practice address
- 2880 W Oakland Park Blvd
#226
Oakland Park, FL 33311-1354 - Phone
- (561) 818-3421
- Fax
- (954) 739-5427
- NPI assigned
- Nov 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW5437 | FL | Primary |
Addresses
Primary practice location
2880 W Oakland Park Blvd
#226
Oakland Park, FL 33311-1354
Mailing address
2880 W Oakland Park Blvd
#226
Oakland Park, FL 33311-1354
Phone (561) 818-3421
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z0347 | Other | FL | BLUECROSS BLUE SHIELD |
Other names 1
- Mrs. Arlene Basik Crystal
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 |
|---|---|---|---|
| SW5437 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Broward Hospital District | Clinical | Past | Accepting new patients |
| Fortune Traffic School,Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Fort Laudrerdale, FL
- NPI 1831340678
-
- Group Psychotherapy Psychologist
- Fort Lauderdale, FL
- NPI 1912301391
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451433600000",
"number": "1366623019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2880 W OAKLAND PARK BLVD",
"address_2": "#226",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333111354",
"telephone_number": "561-818-3421",
"fax_number": "954-739-5427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2880 W OAKLAND PARK BLVD",
"address_2": "#226",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333111354",
"telephone_number": "561-818-3421",
"fax_number": "954-739-5427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRYSTAL",
"first_name": "ARLENE",
"middle_name": "B",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-23",
"last_updated": "2015-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW5437",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUE SHIELD",
"identifier": "Z0347",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ARLENE",
"last_name": "CRYSTAL",
"middle_name": "BASIK",
"prefix": "MRS.",
"credential": "LCSW",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Oakland Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.