Crystal Rose Polk, LISW-CP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14731 Issued in SC

Practice address

10070 Dorchester Rd
#51132
Summerville, SC 29485-9998

Phone

(843) 773-5787

NPI assigned

Aug 20, 2013

Last updated

Mar 19, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1376956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1427481878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51132",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "29485",
            "telephone_number": "843-773-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10070 DORCHESTER RD",
            "address_2": "#51132",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294859998",
            "telephone_number": "843-773-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLK",
        "first_name": "CRYSTAL",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-20",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "14731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PM Home Medical Equipment LLC
• Lauren Podoll, PA
• Erica C Polcari, PA-C
• Frank Gary Polizzi
• Anna Conner Polk, LPC
• John Polydorou, DMD, MSD
• Daniel Poole, M.D.
• John Terry Poole III, D.M.D.
• Victoria Poole
• Poppins & Co LLC

• Clinical Social Worker in Summerville, SC
• Providers in Summerville, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.