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

Crystal Waller, LCSW

Individual provider Clinical Social Worker · NPI 1790412732

Crystal Waller, LCSW is a Clinical Social Worker in Richmond, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2022
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

4108 E Parham Rd Ste 100
Richmond, VA 23228-2754
Phone: (804) 902-7565
Fax: (804) 994-0515
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 0904013546 (VA)

Record details

NPI number1790412732
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 1, 2022
Last updated in NPPESMarch 7, 2023
Certification dateMarch 7, 2023

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