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CRYSTAL DEVON MCCORMICK LCSW NPI 1790029114


NPI Information

NPI: 1790029114
Provider Name: CRYSTAL DEVON MCCORMICK, LCSW
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
1867 AIRPORT WAY
SUITE 200
FAIRBANKS, AK
ZIP 99701
Phone: (907) 590-2100
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Crystal Devon Mccormick, LCSW is a professional counselor in Fairbanks, AK with 34 years of experience. Crystal Devon Mccormick, LCSW NPI is 1790029114. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1867 AIRPORT WAY
SUITE 200
FAIRBANKS, AK
ZIP 99701-054
Phone: (907) 590-2100

The NPI 1790029114 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 11/26/2012 and was last updated on 3/23/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessional1053ALASKAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.