CHRYSTAL DAWN LIEBOLD (NPI# 1578092979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578092979 |
| Entity Type | Individual |
| Full Name | CHRYSTAL DAWN LIEBOLD |
| Credential | LCSW |
| Practice Address |
3344 Robert Trent Jones Drive Unit 101 Orlando FL 32835 |
| Mailing Address |
3344 Robert Trent Jones Dr Unit 101 Orlando FL 32835-2383 |
| Practice Telephone | (646) 957-4294 |
| Mailing Telephone | 6469574294 |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2017-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CA | Behavioral Health & Social Service Providers |
| Street Address |
3344 ROBERT TRENT JONES DRIVE UNIT 101 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558912006 | Ork Medical | Family Medicine | 2441 South Hiawassee Road, Orlando, FL 32835 | 2019-09-26 |
| 1104480011 | Anna Linn Patterson | Counselor | 7601 Conroy-windermere Rd, Suite 202, Orlando, FL 32835 | 2019-04-25 |
| 1134695190 | Tammera Black | Clinic/Center | 1969 Westpointe Cir, Orlando, FL 32835 | 2018-10-17 |
| 1821570268 | Christopher James Martin | Physical Therapy Assistant | 117 Lake Dr, Orlando, FL 32835 | 2018-09-02 |
| 1396250098 | Advanced Kid's Care | Pediatrics | 98 Terra Mango Loop, Unit 12, Orlando, FL 32835 | 2017-12-05 |
| 1700303591 | Serenity Home Care & Services | Adult Companion | 2301 Lake Debra Drive Apt 112, Orlando, FL 32835 | 2017-08-23 |
| 1003332743 | Shawanda Wright | Behavioral Analyst | 672 Bellhurst Court, Orlando, FL 32835 | 2017-08-15 |
| 1497280002 | Adventist Health System/sunbelt, Inc | Family Medicine | 8014 Conroy Windermere Rd, Suite 104, Orlando, FL 32835 | 2017-04-21 |
| 1336680222 | Agile Physical Therapy & Wellness Center LLC | Clinic/Center | 6735 Conroy Windermere Rd, Suite 223, Orlando, FL 32835 | 2017-03-13 |
| 1003358847 | Suzanna Azor | Specialist | 6520 Metrowest Blvd # 719, Orlando, FL 32835 | 2016-11-10 |
| Find all providers in zip 32835 | ||||
| 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 |
|---|---|---|---|---|
| 1023619772 | Nichole Goff | Social Worker | 12151 Waterstone Ct Apt 826, Orlando, FL 32825-7035 | 2020-11-07 |
| 1902405830 | Tejah Carbone | Social Worker | 2630 S Tanner Rd, Orlando, FL 32820-1202 | 2020-10-21 |
| 1871192013 | Benjamin Jose Medina | Social Worker | 5850 T G Lee Blvd Ste 400, Orlando, FL 32822-4409 | 2020-10-19 |
| 1679171821 | Gabriela C Soto | Social Worker | 3320 Pelham Rd, Orlando, FL 32803-1034 | 2020-10-10 |
| 1588261663 | Paria Maghsoudi | Social Worker | 12198 Sumter Dr, Orlando, FL 32824-7362 | 2020-10-02 |
| 1861007833 | Sabrina Crim | Social Worker | 1611 Natchez Trace Blvd, Orlando, FL 32818-9038 | 2020-09-15 |
| 1326651001 | Serenity Health & Consulting | Social Worker | 5091 Shale Ridge Trl, Orlando, FL 32818-8752 | 2020-08-24 |
| 1770101206 | Choose Joy Therapy, LLC | Social Worker | 1235 Mount Vernon St, Orlando, FL 32803-5417 | 2020-07-10 |
| 1326664897 | Stephanie Jean | Social Worker | 11806 Meadow Branch Dr Apt 717, Orlando, FL 32825-5062 | 2020-06-22 |
| 1710501077 | Chelsie Meredith | Social Worker | 4324 Stonewall Dr, Orlando, FL 32812-7940 | 2020-06-02 |
| Find all providers in ORLANDO | ||||
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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.