Active NPI
Crystal Kemi Obi
- Clinical Social Worker
- Forney, TX
National Provider Identifier
1992640577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 105672
- Practice address
- 1658 Gracehill Way
Forney, TX 75126-4280 - Phone
- (214) 603-0303
- NPI assigned
- Apr 21, 2026
- 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 | 105672 | TX | Primary |
Addresses
Primary practice location
1658 Gracehill Way
Forney, TX 75126-4280
Mailing address
1658 Gracehill Way
Forney, TX 75126-4280
Phone (214) 603-0303
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 |
|---|---|---|---|
| 105672 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1992640577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1658 GRACEHILL WAY",
"city": "FORNEY",
"state": "TX",
"postal_code": "751264280",
"telephone_number": "214-603-0303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1658 GRACEHILL WAY",
"city": "FORNEY",
"state": "TX",
"postal_code": "751264280",
"telephone_number": "214-603-0303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBI",
"first_name": "CRYSTAL",
"middle_name": "KEMI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-21",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "105672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.