Provider Demographics
NPI:1659691996
Name:STERLING SIMMONS, CRYSTAL ELIZABETH (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CRYSTAL
Middle Name:ELIZABETH
Last Name:STERLING SIMMONS
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 AUTREY MILL CIR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-6681
Mailing Address - Country:US
Mailing Address - Phone:919-697-6596
Mailing Address - Fax:919-596-3994
Practice Address - Street 1:16 AUTREY MILL CIR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-6681
Practice Address - Country:US
Practice Address - Phone:919-697-6596
Practice Address - Fax:919-596-3994
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-09
Last Update Date:2010-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0041371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical