MEDICARE: CHRYSTAL JEAN SMITH L,C.S.W.

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	CSW003123	GA
2	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1932263217
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRYSTAL JEAN SMITH L,C.S.W.

Provider Business Mailing Address
First Line	:	1410 DOUBLE CHURCHES RD
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-2605
Country	:	US
Telephone Number	:	706-681-3278
Fax Number	:	706-321-9757

Provider Business Practice Location Address
First Line	:	1410 DOUBLE CHURCHES RD
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-2605
Country	:	US
Telephone Number	:	706-681-3278
Fax Number	:	706-321-9757

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

Provider Enumeration Date	:	12/20/2006
Last Update Date	:	09/11/2025

Similar Medicare Providers

1073516399 — MRS HOMECARE, INC.
Practice Location Address:

2605 W BRITT DAVID RD
COLUMBUS, GA
31909-4504

Practice Phone: 706-596-8855
Practice Fax: 706-596-0404

1689705527 — QUINCO CONSULTING CENTER INC
Practice Location Address:

2650 FOXPOINTE DRIVE
COLUMBUS, IN
47201-2605

Practice Phone: 812-372-5517
Practice Fax: 812-372-5518

1497886337 — QUINCO CONSULTING CENTER INC
Practice Location Address:

2999 9TH ST
COLUMBUS, IN
47201-2605

Practice Phone: 812-378-4559
Practice Fax: 812-378-5272

1346172558 — MELISSA FOWLER
Practice Location Address:

6896 RIVER RD
COLUMBUS, GA
31904-2337

Practice Phone: 330-554-2686
Practice Fax:

1295246049 — BRADIN EMORY
Practice Location Address:

2200 HAMILTON RD
COLUMBUS, GA
31904-8855

Practice Phone: 706-655-8800
Practice Fax: 678-819-4280

1619429446 — STEPHANIE BROOKINS LPC LLC
Practice Location Address:

4 BRADLEY PARK CT STE 1B
COLUMBUS, GA
31904-3636

Practice Phone: 706-322-7911
Practice Fax: 706-327-1444

Directions to “ CHRYSTAL JEAN SMITH L,C.S.W.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.