Healthcare Provider Details

I. General information

NPI: 1699612952
Provider Name (Legal Business Name): CRYSTAL NURAY LEMMON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2803 MEDICAL CAMPUS DRIVE
GOLDSBORO NC
27531-2301
US

IV. Provider business mailing address

325 RYAN BLVD
GOLDSBORO NC
27534-8683
US

V. Phone/Fax

Practice location:
  • Phone: 919-722-1123
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC017635
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: