Provider Demographics
NPI:1295319598
Name:WORKMAN, CRYSTAL (LMSW)
Entity type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:
Last Name:WORKMAN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9061 BECKER AVE
Mailing Address - Street 2:
Mailing Address - City:ALLEN PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48101-1580
Mailing Address - Country:US
Mailing Address - Phone:313-228-6404
Mailing Address - Fax:
Practice Address - Street 1:1149 HILTON RD # 200
Practice Address - Street 2:
Practice Address - City:FERNDALE
Practice Address - State:MI
Practice Address - Zip Code:48220-2838
Practice Address - Country:US
Practice Address - Phone:313-228-6404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-12
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801086494104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker