Provider Demographics
NPI:1659968683
Name:PALONE, CRYSTAL MICHELLE (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:CRYSTAL
Middle Name:MICHELLE
Last Name:PALONE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MRS
Other - First Name:CRYSTAL
Other - Middle Name:MICHELLE
Other - Last Name:WILLIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2626 SALEM GLEN XING
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37128-6076
Mailing Address - Country:US
Mailing Address - Phone:615-495-9767
Mailing Address - Fax:
Practice Address - Street 1:2626 SALEM GLEN XING
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37128-6076
Practice Address - Country:US
Practice Address - Phone:615-495-9767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-23
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN10879104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker