Individual provider Active NPI

Crystal Turman, LCSW

  • Clinical Social Worker
  • Indian Harbour Beach, FL
National Provider Identifier
1700149762
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10881 Issued in FL
Practice address
2040 Highway A1A
Ste 203
Indian Harbour Beach, FL 32937-3566
Phone
(321) 799-1863
Fax
(866) 799-4512
NPI assigned
Jun 24, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 10881 FL Primary

Addresses

Primary practice location

2040 Highway A1A
Ste 203
Indian Harbour Beach, FL 32937-3566

Mailing address

PO Box 555
Mount Juliet, TN 37121-0555
Phone (321) 799-1863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140923001895 FL Practitioner - Clinical Social Worker 0244459246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8050 Spyglass Hill Rd
Viera, FL 32940-7983
Phone (321) 752-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10881FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspring Counseling Services, LLC Clinical CurrentSince Jul 2, 2014 Accepting new patients
Christopher Ministries, Inc. Past Accepting new patients

Locations

1413 South Patrick Dr
Ste 9
Satellite Beach, FL 32937
Phone (321) 604-2451

8050 Spyglass Rd
Viera, FL 32940
Phone (321) 752-1000

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1700149762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 555",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371210555",
            "telephone_number": "321-799-1863",
            "fax_number": "866-799-4512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 HIGHWAY A1A",
            "address_2": "STE 203",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329373566",
            "telephone_number": "321-799-1863",
            "fax_number": "866-799-4512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURMAN",
        "first_name": "CRYSTAL",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-24",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "10881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Harbour Beach, FL

Sources for this page

Verify at the official NPI Registry.