Healthcare Provider Details

I. General information

NPI: 1922780659
Provider Name (Legal Business Name): RACHEL CRUMP MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2023
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 BUCKWALTER PKWY STE 3U
BLUFFTON SC
29910-4130
US

IV. Provider business mailing address

416 E 62ND ST
SAVANNAH GA
31405-4323
US

V. Phone/Fax

Practice location:
  • Phone: 843-290-6828
  • Fax:
Mailing address:
  • Phone: 863-529-3082
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberMSW011559
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number18735
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: