Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crystal Gayle Blaine

Individual provider Clinical Social Worker · NPI 1790614246

Crystal Gayle Blaine is a Clinical Social Worker in Jacksonville, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2026

Practice location Address checks out

317 Western Blvd
Jacksonville, NC 28546-6338
Phone: (910) 577-4900
Fax: (910) 577-4910
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence P023235 (NC)

Record details

NPI number1790614246
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 19, 2026
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026

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