NPI 1144079104

Crystal Gayle Champ, MSWLGSW

Practitioner Social Worker Summersville, WV

Practice location

Address: 416 Ashley Ln, Summersville, WV 26651-1004
Phone: (304) 619-9117

Registered specialties

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence BP00943827 (WV)

Other Social Worker providers in West Virginia →

Registry record

NPI: 1144079104
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 May 2024
Record last updated: 14 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.