Provider Demographics
NPI:1114403466
Name:WILLIAMSON, CRYSTAL J (MS, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CRYSTAL
Middle Name:J
Last Name:WILLIAMSON
Suffix:
Gender:F
Credentials:MS, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 HIDDEN OAKS DR
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-6219
Mailing Address - Country:US
Mailing Address - Phone:817-846-3971
Mailing Address - Fax:
Practice Address - Street 1:1716 GRIFFIN LN
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-8560
Practice Address - Country:US
Practice Address - Phone:817-965-5886
Practice Address - Fax:866-929-1927
Is Sole Proprietor?:No
Enumeration Date:2018-07-18
Last Update Date:2018-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX507631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical