MEDICARE: CRYSTA ELIZABETH SCHAFF LISW-CP

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
1	1041C0700X	Clinical Social Worker	8948	SC

General Provider Information

NPI Number	:	1326933797
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRYSTA ELIZABETH SCHAFF LISW-CP

Provider Business Mailing Address
First Line	:	1483 TOBIAS GADSON BLVD
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29407-8702
Country	:	US
Telephone Number	:	843-876-5026
Fax Number	:

Provider Business Practice Location Address
First Line	:	171 ASHLEY AVE
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29425-8908
Country	:	US
Telephone Number	:	843-876-5026
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2025
Last Update Date	:	04/23/2026

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