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CRYSTAL WALLER LCSW
NPI 1790412732
Social Worker - Clinical in Richmond, VA

Active since August 01, 2022
4108 E PARHAM RD STE 100, RICHMOND, VA 23228(804) 902-7565(804) 994-0515 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Aug 1, 2022 (2 updates tracked since 2022).

About Crystal Waller Lcsw NPPES

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

CRYSTAL WALLER LCSW (NPI 1790412732) is an individual clinical provider in Richmond, Virginia, licensed in Virginia (0904013546) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1790412732
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCRYSTAL WALLERCredential: LCSW
Location Address4108 E PARHAM RD STE 100Richmond, VA 23228-2754
Mailing Address4108 E Parham Rd Ste 100Richmond, VA 23228-2754 · (804) 902-7565 · Fax (804) 994-0515
Phone(804) 902-7565
Fax(804) 994-0515
Sole ProprietorYes
Enumeration DateAugust 1, 2022
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPPES CertifiedMarch 7, 2023
✔ NPI 1790412732 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 VA · 0904013546
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.
4108 E PARHAM RD STE 100, Richmond, VA 23228
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Other Providers at the Same Location NPPES 4

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

DC LOGISTICS LLC
Non-emergency Medical Transport (VAN)
4108 E PARHAM RD STE 100
HENRICO, VA 23228
Henrico County (804) 206-3034
TANIKA SCOTT-JACKSOM
Non-emergency Medical Transport (VAN)
4108 E PARHAM RD STE 100
HENRICO, VA 23228
Henrico County (804) 206-3034
THE COUNSELING CORNER OF VA LLC
Counselor (Mental Health)
4108 E PARHAM RD STE 100
RICHMOND, VA 23228
Henrico County (434) 414-8353
LEANDRA KNIGHT LCSW
Social Worker (Clinical)
4108 E PARHAM RD STE 100
RICHMOND, VA 23228
Henrico County (804) 638-9051

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 Waller's NPI number?

The NPI number for Crystal Waller is 1790412732. It was assigned to this individual provider in the NPPES registry on August 1, 2022.

Where is Crystal Waller located?

Crystal Waller practices at 4108 E Parham Rd Ste 100, Richmond, VA 23228. The listed phone number is (804) 902-7565.

What is Crystal Waller'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 Waller was last updated on March 7, 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.