Active NPI
Crystal Seals, LSW
- Social Worker
- Richton Park, IL
National Provider Identifier
1699201400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150102350
- Practice address
- 5165 Arquilla Dr
Richton Park, IL 60471-1517 - Phone
- (773) 710-6641
- Fax
- (312) 564-5253
- NPI assigned
- May 11, 2017
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 150102350 | IL | Primary |
Addresses
Primary practice location
5165 Arquilla Dr
Richton Park, IL 60471-1517
Mailing address
5165 Arquilla Dr
Richton Park, IL 60471-1517
Phone (773) 710-6641
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150102350 | IL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668470400000",
"number": "1699201400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5165 ARQUILLA DR",
"city": "RICHTON PARK",
"state": "IL",
"postal_code": "604711517",
"telephone_number": "773-710-6641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5165 ARQUILLA DR",
"city": "RICHTON PARK",
"state": "IL",
"postal_code": "604711517",
"telephone_number": "773-710-6641",
"fax_number": "312-564-5253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEALS",
"first_name": "CRYSTAL",
"name_prefix": "Ms.",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-11",
"last_updated": "2022-11-15",
"certification_date": "2022-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150102350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richton Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.