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NPI Code Detail

MEDICARE: CRYSTAL LYNN KING LMSW

MEDICARE: CRYSTAL LYNN KING LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker27512MAR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134001159
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRYSTAL LYNN KING LMSW
Provider Business Mailing Address
First Line : 2400 S 48TH ST
Second Line :
City : SPRINGDALE
State : AR
Zip : 72762-6683
Country : US
Telephone Number : 479-750-2020
Fax Number :
Provider Business Practice Location Address
First Line : 2466 S 48TH ST
Second Line :
City : SPRINGDALE
State : AR
Zip : 72762-6683
Country : US
Telephone Number : 479-750-2020
Fax Number : 479-750-8967
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2025
Last Update Date : 03/19/2026

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Directions to “ CRYSTAL LYNN KING LMSW” Practice Location

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