CHINNIKA LATRICE CRISLER - NPI 1215560545 - Social Worker in Jackson, MS

Q: What is Chinnika Crisler's NPI number?

The NPI number for Chinnika Crisler is 1215560545. It was assigned to this individual provider in the NPPES registry on February 14, 2020.

Q: What is Chinnika Crisler's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Chinnika Crisler was last updated on February 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.

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About Chinnika Latrice Crisler NPPES

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

CHINNIKA LATRICE CRISLER (NPI 1215560545) is an individual clinical provider in Jackson, Mississippi, licensed in Mississippi (C8048) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Jackson, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1215560545

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameCHINNIKA LATRICE CRISLER

Location Address4541 N STATE STJackson, MS 39206-5308

Mailing AddressPo Box 746085Atlanta, GA 30374-6085 · (469) 727-6675

Phone(601) 533-7017

Sole ProprietorYes

Medical School CMSOtherGraduated 2007

Enumeration DateFebruary 14, 2020

Last NPPES UpdateFebruary 3, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2025

✔ NPI 1215560545 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 MS · C8048

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.

4541 N STATE ST, Jackson, MS 39206

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Secondary Practice Location 1

Location 11134 Winter StJackson, MS 39204-2841 · Phone (601) 948-5572

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Chinnika Latrice Crisler is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658700018

PECOS Enrollment IDI20200406001772

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39206 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $51.65 – $159.18

Typical copayment $0.00 (range $12.91 – $39.79)

Most-billed visit code NA

Established Patient

$64.96 typical visit price

range $16.15 – $129.61

Typical copayment $16.24 (range $4.03 – $32.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

MRS. ANJANETTE MICHELLE DEVINE FNP

Nurse Practitioner (Family)