CRYSTAL SHAWNETTE YARBOROUGH (NPI# 1417238189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417238189 |
| Entity Type | Individual |
| Full Name | CRYSTAL SHAWNETTE YARBOROUGH |
| Credential | MSW, LCSW, LCAS |
| Practice Address |
3040 Hammond Business Pl Suite 105 Va Raleigh II Clinic Raleigh NC 27603 |
| Mailing Address |
508 Fulton St Durham NC 27705-3875 |
| Practice Telephone | 9198996259 |
| Mailing Telephone | 9198996259 |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2015-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
NC | Behavioral Health & Social Service Providers | |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C007362 | NC | Behavioral Health & Social Service Providers |
| Street Address |
3040 HAMMOND BUSINESS PL SUITE 105 VA RALEIGH II CLINIC |
| City | RALEIGH |
| State | NC |
| Zip Code | 27603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245854736 | Rdu Medical Transportation Group | Non-emergency Medical Transport (VAN) | 3751 Junction Blvd Suite C Raleigh Nc 27603, C, Raleigh, NC 27603 | 2020-06-01 |
| 1275997595 | Run Raleigh Pt, LLC | Physical Therapist | 401 N West Street, Suite 121, Raleigh, NC 27603 | 2016-04-12 |
| 1508256496 | Nneka Ifeoma Hay | Nurse Practitioner | 1390 Capital Boulevard, Raleigh, NC 27603 | 2015-01-29 |
| 1841680220 | Oswald H Ganley | Internal Medicine | 1251 Goode St, The Healing Place of Wake County, Raleigh, NC 27603 | 2015-01-23 |
| 1578979548 | Grishma Ajmera | Pharmacist | 1531 Dormitory Rd, Raleigh, NC 27603 | 2014-07-10 |
| 1699036467 | Brian Ellison | Pharmacist | 401 Glenwood Ave # 101, Raleigh, NC 27603 | 2012-06-07 |
| 1255607610 | Brian Nichols | Specialist/Technologist | 605 Trunecek Circle, Raleigh, NC 27603 | 2012-03-29 |
| 1548532120 | Living With Autism Inc | Home Health | 7401 Denlee Rd, Raleigh, NC 27603 | 2012-01-30 |
| 1982906673 | Annie & Khamorah's Place | Home Health | 2917 Fairway Drive, Raleigh, NC 27603 | 2010-12-01 |
| 1811140106 | Irene U. Mcclellan | Social Worker | 820 South Boylan Ave, Dorothea Dix Hospital, Raleigh, NC 27603 | 2008-10-30 |
| Find all providers in zip 27603 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333516 | Susan Silberman | Social Worker | 8480 Honeycutt Rd Ste 200, Raleigh, NC 27615-2261 | 2020-10-09 |
| 1427665074 | Arshiya F Siddiqui | Social Worker | 12900 Saxon Way, Raleigh, NC 27613-5753 | 2020-09-28 |
| 1427661784 | Priscilla Janine James | Social Worker | 913 Haynes St, Raleigh, NC 27604-1463 | 2020-08-26 |
| 1730791443 | Robin Hotard Roche | Social Worker | 3209 Clandon Park Dr, Raleigh, NC 27613-8839 | 2020-08-24 |
| 1124639786 | Richetta White | Social Worker | 2921 Berkeley Springs Pl, Raleigh, NC 27616-6645 | 2020-08-16 |
| 1356950349 | Rachel Elizabeth Zarcone | Social Worker | 702 Van Buren Rd, Raleigh, NC 27604-2368 | 2020-07-27 |
| 1881202794 | Nikki Atkins | Social Worker | 3125 Poplarwood Ct Ste 211, Raleigh, NC 27604-6445 | 2020-07-16 |
| 1770100547 | Flourish Mental Health Pllc | Social Worker | 8307 Six Forks Rd Ste 201, Raleigh, NC 27615-3768 | 2020-06-28 |
| 1235756057 | Amy Boiselle Fitzgerald | Social Worker | 524 S Boylan Ave, Raleigh, NC 27603-2130 | 2020-06-27 |
| 1639798200 | Tatiana Alicia Hinton | Social Worker | 3117 Poplarwood Ct Ste 350, Raleigh, NC 27604-6446 | 2020-04-13 |
| Find all providers in RALEIGH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.