MS. CRYSTAL LYNN BLAKKAN
NPI 1003405341
Social Worker - Clinical in San Bernardino, CA

Active since January 12, 2021
1738 N WATERMAN AVE, SAN BERNARDINO, CA 92404(909) 693-3302 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 3, 2023, Jan 12, 2021 (2 updates tracked since 2021).

About Ms. Crystal Lynn Blakkan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. CRYSTAL LYNN BLAKKAN (NPI 1003405341) is an individual clinical provider in San Bernardino, California, licensed in California (106370) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1003405341
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. CRYSTAL LYNN BLAKKAN
Location Address1738 N WATERMAN AVESan Bernardino, CA 92404-5131
Mailing Address1738 N Waterman AveSan Bernardino, CA 92404-5131 · (909) 693-3302
Sole ProprietorNo
Enumeration DateJanuary 12, 2021
Last NPPES UpdateJuly 3, 20232 updates tracked since enumeration
NPPES CertifiedJuly 3, 2023
NPI 1003405341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · 106370
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1738 N WATERMAN AVE, San Bernardino, CA 92404

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist
1738 N WATERMAN AVE, STE 5
SAN BERNARDINO, CA 92404
Social Worker
1738 N WATERMAN AVE
SAN BERNARDINO, CA 92404
Counselor
1738 N WATERMAN AVE
SAN BERNARDINO, CA 92404
Psychiatry & Neurology (Psychiatry)
1738 N WATERMAN AVE, 2
SAN BERNARDINO, CA 92404
Counselor
1738 N WATERMAN AVE
SAN BERNARDINO, CA 92404
Case Manager/Care Coordinator
1738 N WATERMAN AVE
SAN BERNARDINO, CA 92404
Day Training/Habilitation Specialist
1738 N WATERMAN AVE
SAN BERNARDINO, CA 92404
Student in an Organized Health Care Education/Training Program
1738 N WATERMAN AVE
SAN BERNARDINO, CA 92404

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystal Blakkan's NPI number?

The NPI number for Crystal Blakkan is 1003405341. It was assigned to this individual provider in the NPPES registry on January 12, 2021.

Where is Crystal Blakkan located?

Crystal Blakkan practices at 1738 N Waterman Ave, San Bernardino, CA 92404. The listed phone number is (909) 693-3302.

What is Crystal Blakkan's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Crystal Blakkan was last updated on July 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.