Crystal A. Smith, IMFT, LCSW, IBHC
Clinical Social Worker · Oak Lawn, IL
Practice location
10448 S Pulaski RdSuite 4
Oak Lawn, IL 60453-4895
- Phone
- (312) 834-3697
NPI record
- NPI
- 1871873893
- Entity type
- Individual (Type 1)
- Enumeration date
- August 22, 2011
- Last updated
- January 5, 2020
- Certified
- January 5, 2020
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinical Social Worker Primary | 1041C0700X |
149014748 | IL |
| Professional Counselor | 101YP2500X |
LPC-125 | GU |
| Clinical Social Worker | 1041C0700X |
LCSW-4503 | HI |
| Clinical Social Worker | 1041C0700X |
CW019175 | PA |
| Marriage & Family Therapist | 106H00000X |
GU-125 | GU |
| Military Health Care Provider | 171000000X |
IBHC | GU |
Mailing address
1342 W Taylor St Unit 302Chicago, IL 60607-4705
- Phone
- (312) 554-9934
- Fax
- (877) 211-1170
Other practice locations (2)
- 275 Farenholt Ave, Tamuning, GU 96913-3217 · (877) 211-1170 ext. 671
- 500 Ala Moana Blvd, Honolulu, HI 96813-4920 · (877) 211-1870 ext. 808
About Crystal Smith
Crystal A. Smith, IMFT, LCSW, IBHC is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 10448 S Pulaski Rd, Suite 4, Oak Lawn, IL 60453-4895. The NPI number 1871873893 was assigned on August 22, 2011 and the record was last updated on January 5, 2020.
Crystal Smith lists 6 licenses in the registry: #149014748 (IL) for Clinical Social Worker; #LPC-125 (GU) for Professional Counselor; #LCSW-4503 (HI) for Clinical Social Worker; #CW019175 (PA) for Clinical Social Worker; #GU-125 (GU) for Marriage & Family Therapist; #IBHC (GU) for Military Health Care Provider. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Crystal A. Smith, IMFT, LCSW, IBHC?
The NPI number is 1871873893.
What is the phone number of Crystal Smith?
The phone number listed for the practice location is (312) 834-3697.
Where is Crystal Smith located?
10448 S Pulaski Rd, Suite 4, Oak Lawn, IL 60453-4895.
What is the taxonomy code for Crystal Smith?
The primary taxonomy code is 1041C0700X – Clinical Social Worker; 5 more listed above.
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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