Provider Demographics
NPI:1629525035
Name:FINDLEY-JONES, KRYSTAL (LMSW; CASAC-T)
Entity Type:Individual
Prefix:
First Name:KRYSTAL
Middle Name:
Last Name:FINDLEY-JONES
Suffix:
Gender:F
Credentials:LMSW; CASAC-T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1124 CLARKSON AVE
Mailing Address - Street 2:APT. 2R
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212-2729
Mailing Address - Country:US
Mailing Address - Phone:646-339-7016
Mailing Address - Fax:
Practice Address - Street 1:1124 CLARKSON AVE
Practice Address - Street 2:APT. 2R
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-2729
Practice Address - Country:US
Practice Address - Phone:646-339-7016
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY098179104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA100122487Medicaid