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

Individual provider Community Health Worker · NPI 1558143917

Mrs. Ebidoere Stella Crump, HIGHSCHOOL is a Community Health Worker in Martinez, California. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
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Practice location Address checks out

300 Ilene St
Martinez, CA 94553-2631
Phone: (925) 655-0560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Day Training/Habilitation Specialist (primary) Taxonomy 373H00000X
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1558143917
Entity typeIndividual (Type 1)
GenderFemale
Credentials HIGHSCHOOL
Sole proprietorYes
NPI enumeratedOctober 19, 2023
Last updated in NPPESMay 21, 2025
Certification dateMay 21, 2025

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