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

Mrs. Chinna Krystal Iheakaram, LCSW

Individual provider Social Worker · NPI 1306502950

Mrs. Chinna Krystal Iheakaram, LCSW is a Clinical Social Worker in Sparta, New Jersey. Qualified in 2012, 14 years ago. Licensed in New Jersey.

Years since qualifying
14
Licensed in
NJ
In the registry since
2021
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

11 S Key ST
Sparta, NJ 07871-3507
Phone: (973) 207-4698
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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 44SC06421100 (NJ)
Social Worker Taxonomy 104100000X · Licence 44SL05812600 (NJ)

Record details

NPI number1306502950
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 9, 2021
Last updated in NPPESDecember 16, 2024
Certification dateDecember 16, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Not indicated

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