Individual
KRYSTAL VASCONCELOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW01448
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSW01448
LICENSE NUMBER
RI
Enumeration date
09/16/2013
Last updated
09/16/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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