Active NPI
Crystal Carithers, LCSW
- Clinical Social Worker
- Grayson, GA
National Provider Identifier
1376377614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW009262
- Practice address
- 2086 Leafmore CT
Grayson, GA 30017-4331 - Phone
- (706) 380-4392
- NPI assigned
- Aug 29, 2024
- Last updated
- Oct 28, 2024
- 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 | CSW009262 | GA | Primary |
Addresses
Primary practice location
2086 Leafmore CT
Grayson, GA 30017-4331
Mailing address
2086 Leafmore CT
Grayson, GA 30017-4331
Phone (770) 868-7589
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964
100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1376377614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2086 LEAFMORE CT",
"city": "GRAYSON",
"state": "GA",
"postal_code": "300174331",
"telephone_number": "770-868-7589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2086 LEAFMORE CT",
"city": "GRAYSON",
"state": "GA",
"postal_code": "300174331",
"telephone_number": "706-380-4392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARITHERS",
"first_name": "CRYSTAL",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-29",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW009262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grayson, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.