CRYSTAL GAYLE BLAINE
NPI 1790614246
Social Worker - Clinical in Jacksonville, NC

Active since May 19, 2026
317 WESTERN BLVD, JACKSONVILLE, NC 28546(910) 577-4900(910) 577-4910 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Crystal Gayle Blaine NPPES

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

CRYSTAL GAYLE BLAINE (NPI 1790614246) is an individual clinical provider in Jacksonville, North Carolina, licensed in North Carolina (P023235) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1790614246
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCRYSTAL GAYLE BLAINE
Location Address317 WESTERN BLVDJacksonville, NC 28546-6338
Mailing Address317 Western BlvdJacksonville, NC 28546-6338 · (910) 577-4900 · Fax (910) 577-4910
Fax(910) 577-4910
Sole ProprietorYes
Enumeration DateMay 19, 2026
NPPES CertifiedMay 19, 2026
NPI 1790614246 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 NC · P023235
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.
317 WESTERN BLVD, Jacksonville, NC 28546

Other Providers at the Same Location NPPES 20

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

Pathology (Anatomic Pathology & Clinical Pathology)
317 WESTERN BLVD, DEPARTMENT OF PATHOLOGY
JACKSONVILLE, NC 28546
Social Worker (Clinical)
317 WESTERN BLVD
JACKSONVILLE, NC 28546
Emergency Medicine
317 WESTERN BLVD
JACKSONVILLE, NC 28546
Emergency Medicine
317 WESTERN BLVD
JACKSONVILLE, NC 28546
Clinic/Center (Oncology, Radiation)
317 WESTERN BLVD
JACKSONVILLE, NC 28546
Registered Nurse
317 WESTERN BLVD, ICU
JACKSONVILLE, NC 28546
Physician Assistant
317 WESTERN BLVD
JACKSONVILLE, NC 28546
Nurse Practitioner (Family)
317 WESTERN BLVD
JACKSONVILLE, NC 28546

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 Blaine's NPI number?

The NPI number for Crystal Blaine is 1790614246. It was assigned to this individual provider in the NPPES registry on May 19, 2026.

Where is Crystal Blaine located?

Crystal Blaine practices at 317 Western Blvd, Jacksonville, NC 28546. The listed phone number is (910) 577-4900.

What is Crystal Blaine'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 Blaine was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.