CRYSTAL JOLLY (NPI# 1619400025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619400025 |
| Entity Type | Individual |
| Full Name | CRYSTAL JOLLY |
| Practice Address |
1825 Nw 167th St Suite 102 Miami Gardens FL 33056-4838 |
| Mailing Address |
921 Nw 75th St Miami FL 33150-3354 |
| Practice Telephone | 3056237893 |
| Practice Fax Number | 3056237893 |
| Mailing Telephone | 3053323172 |
| Mailing Fax Number | 3056237893 |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2017-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
1825 NW 167TH ST SUITE 102 |
| City | MIAMI GARDENS |
| State | FL |
| Zip Code | 33056-4838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588277792 | Shena Mayas | Social Worker | 1825 Nw 167th St, Miami Gardens, FL 33056-4838 | 2020-08-26 |
| 1326671934 | Chekelia Karen Rahming | Counselor | 1825 Nw 167th St, Miami Gardens, FL 33056-4838 | 2020-02-21 |
| 1487203469 | Ellieton Bobby Lewis | Counselor | 1825 Nw 167th St, Miami Gardens, FL 33056-4838 | 2019-09-11 |
| 1265086060 | Melanie Kucharski | Dentist | 1825 Nw 167th St, Miami Gardens, FL 33056-4838 | 2019-07-30 |
| 1740755107 | Debra Robin Thomas | Social Worker | 1825 Nw 167th St, Miami Gardens, FL 33056-4838 | 2018-10-11 |
| 1366924557 | Julienne Jean | Social Worker | 1825 Nw 167th St, Miami Gardens, FL 33056-4838 | 2018-09-04 |
| 1992287262 | Nyto Lacroix | Counselor | 1825 Nw 167th St, Miami Gardens, FL 33056-4838 | 2018-09-04 |
| 1952883688 | Valerie Lynn Dukes | Social Worker | 1825 Nw 167th St, Miami Gardens, FL 33056-4838 | 2018-08-29 |
| 1225534845 | Daneisha Tranette Freeman | Social Worker | 1825 Nw 167th St, Miami Gardens, FL 33056-4838 | 2018-04-03 |
| 1093223422 | Heather M Atkinson | Case Manager/Care Coordinator | 1825 Nw 167th St, Miami Gardens, FL 33056-4838 | 2018-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912475898 | Dory Ailec Abellon Mederos | Behavior Technician | 3270 Nw 208 St, Miami Garden, FL 33056 | 2018-11-08 |
| 1356867121 | Sonya Hunter | Case Management | 2200 Nw 193rd Terrace, Miami, FL 33056 | 2017-08-14 |
| 1144759531 | Spirit Residential Group Home | Clinic/Center | 17311 N.w 33 Ct, Miami Gardens, FL 33056 | 2017-06-08 |
| 1942744735 | Medicode Network Solutions | Durable Medical Equipment & Medical Supplies | 16805 Nw 24 Ct, Miami, FL 33056 | 2016-12-13 |
| 1114317013 | Mental Health Counseling of South Florida LLC | Social Worker | 18656 Nw 47 Ave, #102 F, Miami Gardens, FL 33056 | 2015-01-29 |
| 1568713956 | A Sweet Adult Care Alf, Inc | Assisted Living Facility | 2751 Nw 209th Terra, Miami Gardens, FL 33056 | 2012-09-25 |
| 1093006660 | Gloria Jean Roan | Respiratory Therapist, Registered | 2320 Nw 187th Street, Miami Garden, FL 33056 | 2011-04-29 |
| 1891091690 | Barry M Gillman | Chiropractor | 17325 Nw 27th Avenue, Suite 111, Miami, FL 33056 | 2011-01-27 |
| 1245363381 | Wal-mart Stores, Inc. | Technician/Technologist | 19501 Northwest 27th Ave., Miami Gardens, FL 33056 | 2007-03-14 |
| 1689719213 | Great Care Pharmacy Inc | Pharmacy | 17560 Nw 27 Ave, Suite 107, Miami Gardens, FL 33056 | 2007-02-21 |
| Find all providers in zip 33056 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992319198 | Gladys Maria Miranda Quintana | Social Worker | 4952 Nw 191st St, Miami Gardens, FL 33055-2450 | 2020-09-04 |
| 1770115602 | Amber Manker | Social Worker | 1781 Nw 207th St Apt 208, Miami Gardens, FL 33056-5059 | 2020-02-08 |
| 1477107936 | Connie Reese-walker | Social Worker | 19100 Nw 51stave, Miami Gardens, FL 33055 | 2019-08-01 |
| 1770835886 | Anthony Quintin Carter | Social Worker | 1951 Nw 184th St, Miami Gardens, FL 33056-2751 | 2012-10-12 |
| 1871874297 | Krista Aguilera | Social Worker | 17830 Nw 52nd Ave, Miami Gardens, FL 33055-3102 | 2011-08-30 |
| 1225688856 | Amanda Roche Arbolaez | Social Worker | 1825 Nw 167th St Ste 102, Miami Gardens, FL 33056-4838 | 2019-09-16 |
| 1063077865 | Quintina Haynes | Social Worker | 1825 Nw 167th St Ste 102, Miami Gardens, FL 33056-4838 | 2019-05-07 |
| 1366924557 | Julienne Jean | Social Worker | 1825 Nw 167th St, Miami Gardens, FL 33056-4838 | 2018-09-04 |
| 1225534845 | Daneisha Tranette Freeman | Social Worker | 1825 Nw 167th St, Miami Gardens, FL 33056-4838 | 2018-04-03 |
| 1386146504 | Monica P Diaz | Social Worker | 160 Nw 176th St Ste 344, Miami Gardens, FL 33169-5041 | 2018-03-03 |
| Find all providers in MIAMI GARDENS | ||||
| City | MIAMI GARDENS |
| Zip Code | 33056 |
Please comment or provide details below to improve the information on CRYSTAL JOLLY.
| 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.