Crystal Clear Behavioral Health Services

Clinical Social Worker · Homewood, IL

Organization Active NPI

NPI number 1114366531

Practice location

1818 Ridge Road
Unit 104
Homewood, IL 60430-1763
Phone
(708) 275-0937
Fax
(815) 521-1889

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NPI record

NPI
1114366531
Entity type
Organization (Type 2)
Enumeration date
June 19, 2013
Last updated
November 11, 2022
Certified
November 11, 2022
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X 149.014385 IL

Mailing address

4304a E Central Texas Expy Ste a
Killeen, TX 76543-7308
Phone
(708) 275-0937
Fax
(708) 310-6057

Authorized official

Name
Tamara Fields, LCSW
Title
Owner
Phone
(708) 275-0937

Other names

  • Tamara Fields, LCSW
  • Tamara Fields, LCSW

About Crystal Clear Behavioral Health Services

Crystal Clear Behavioral Health Services is a healthcare organization registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 1818 Ridge Road, Unit 104, Homewood, IL 60430-1763. The NPI number 1114366531 was assigned on June 19, 2013 and the record was last updated on November 11, 2022.

Crystal Clear Behavioral Health Services lists a license in the registry: #149.014385 (IL) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Tamara Fields, LCSW, Owner.

Frequently asked questions

What is the NPI number of Crystal Clear Behavioral Health Services?

The NPI number is 1114366531.

What is the phone number of Crystal Clear Behavioral Health Services?

The phone number listed for the practice location is (708) 275-0937.

Where is Crystal Clear Behavioral Health Services located?

1818 Ridge Road, Unit 104, Homewood, IL 60430-1763.

What is the taxonomy code for Crystal Clear Behavioral Health Services?

The primary taxonomy code is 1041C0700X – Clinical Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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