Krystal Clark
Krystal Clark is a Clinical Social Worker in Ellijay, Georgia. Qualified in 2017, 9 years ago. Practices with Lifesource of North Carolina, a 170-clinician group and accepts Medicare assignment. Licensed in Georgia.
- Years since qualifying
- 9
- Licensed in
- GA
- In the registry since
- 2022
Practice location Address checks out
917 Parker RdEllijay, GA 30536-7957
Phone: (678) 357-7224
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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 CSW008048 (GA) |
|---|
Record details
| NPI number | 1346988441 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 26, 2022 |
| Last updated in NPPES | May 26, 2022 |
| Certification date | May 26, 2022 |
| Mailing address | 917 Parker Rd, Ellijay, GA 30536-7957 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Group practice | Lifesource Of North Carolina — 170 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Ellijay
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Michel Bordeau, MA, LCSW
968 Summit Ln # 1042, Ellijay, GA 30540-8728 · (404) 798-9799
-
Mrs. Ardin Parker Lingle Chastain, LCSW
142 River Ter, Ellijay, GA 30540-5549 · (770) 377-2084
-
Hilda Grindell, LCSW
9 Russell Dr Ste 201, Ellijay, GA 30540-5573 · (762) 233-4869
-
Vickie Harrison, LMSW
18090 Highway 515 N Po 422, Ellijay, GA 30536-1331 · (706) 276-2024
-
Kathy Romanick Licensed Clinical Social Worker an LLC
329 River St Lowr Level, Ellijay, GA 30540-3767 · (706) 889-2434
-
MS. Cheryl M. Keats, LCSW
89 Hospital Cir Ste 8, Ellijay, GA 30540-9668 · (706) 698-2400