Krystal Clark
Clinical Social Worker · Ellijay, GA
Practice location
917 Parker RdEllijay, GA 30536-7957
- Phone
- (678) 357-7224
NPI record
- NPI
- 1346988441
- Entity type
- Individual (Type 1)
- Enumeration date
- May 26, 2022
- Last updated
- May 26, 2022
- Certified
- May 26, 2022
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinical Social Worker Primary | 1041C0700X |
CSW008048 | GA |
About Krystal Clark
Krystal Clark is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 917 Parker Rd, Ellijay, GA 30536-7957. The NPI number 1346988441 was assigned on May 26, 2022 and the record was last updated on May 26, 2022.
Krystal Clark lists a license in the registry: #CSW008048 (GA) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Krystal Clark?
The NPI number is 1346988441.
What is the phone number of Krystal Clark?
The phone number listed for the practice location is (678) 357-7224.
Where is Krystal Clark located?
917 Parker Rd, Ellijay, GA 30536-7957.
What is the taxonomy code for Krystal Clark?
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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