Crystal Crabb-McMikel, LCSW

Individual provider Active NPI Clinical Social Worker · Antlers, OK

NPI 1477858595 · NPPES record last updated Jul 6, 2023

Key facts

NPI
1477858595
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
5909 (OK)
Practice address
107 S High St
Antlers, OK 74523-3818
Phone
(580) 298-2830
NPI assigned
Jan 20, 2011
Sex
Female
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Psychological Care Dallas I LLC (72 clinicians)

Practice addresses (Care Compare)

2900 Stillhouse Rd
Paris, TX 75462-2029
Phone (903) 785-1601

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in OK, TX
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20171219001250 OK Practitioner - Clinical Social Worker 9133487226 Reassigns benefits to 1 organization
I20230721001820 TX Practitioner - Clinical Social Worker 9133487226 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
65286TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Psychological Care Dallas I, LLC Counselor Current
since Jun 19, 2023
Accepting new patients
Senior Psychological Care of Oklahoma, LLC Clinical Current
since Oct 23, 2023
Accepting new patients

Locations

3434 Kentucky Pl
Bartlesville, OK 74006
Phone (918) 333-9000

6202 E 61st St
Tulsa, OK 74136
Phone (918) 477-7171

1900 Oneal St
Gainesville, TX 76240
Phone (940) 665-2826

4635 Southwest Fwy
Ste 635
Houston, TX 77027
Phone (214) 923-7777

434 Paza Dr
Mesquite, TX 75149
Phone (972) 286-6489

520 8th St SE
Paris, TX 75460
Phone (903) 737-9820

2900 Stillhouse Rd
Reno, TX 75462
Phone (903) 785-1601

7146 Baker Blvd
Richland Hills, TX 76118
Phone (817) 589-1734

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5909 OK Yes

Addresses

Primary practice location

107 S High St
Antlers, OK 74523-3818

Mailing address

PO Box 1030
Antlers, OK 74523-1030
Phone (580) 298-2830

Other names

  • Crystal S Crabb Former name

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address lisa.dunn@sequelyouthservices.com

Other providers in Antlers, OK

All providers in Antlers, OK · Clinical Social Worker in Oklahoma

Sources for this page

Verify at the official NPI Registry.