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

Crystal House, LCSW, CCM

Individual provider Clinical Social Worker · NPI 1962330001

Crystal House, LCSW, CCM is a Clinical Social Worker in Tampa, Florida. Licensed in Florida and Virginia. Registered with an NPI since 2026.

Licensed in
FL, VA
In the registry since
2026
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

6725 Rocky Park St
Tampa, FL 33625-3168
Phone: (901) 428-1869
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW13584 (FL)
Clinical Social Worker Taxonomy 1041C0700X · Licence 0904018875 (VA)

Record details

NPI number1962330001
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , CCM
Sole proprietorNo
NPI enumeratedMay 11, 2026
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026

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