DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KRYSTAL D FORTNER, LCSW

Deactivated Sole Proprietor

KRYSTAL D FORTNER, LCSW is a Clinical Social Worker healthcare provider located in RICHMOND, California. NPI 1588990378 is deactivated in the NPPES registry. Verify at CMS.

Clinical Social Worker · RICHMOND, CA

This NPI has been deactivated. The record was deactivated on August 29, 2013. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1588990378
Provider Type
Individual
Gender
Female
NPI Issued
Oct 28, 2009 (3.8356164383562 yrs)
Last Updated
Aug 16, 2023
Deactivated
Aug 29, 2013
License
LCS 26019 (CA)
Sole Proprietor
Yes

Practice Information

Address
214 BAYSIDE CT
RICHMOND, CA, 948047461
Browse CA providers · Browse ZIP 94804
Phone
4158458416
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in RICHMOND, CA

Name Credential NPI
RACHEL CATHERINE ARTHUR LCSW 1205848603
MRS. GENOVEVA CALLOWAY LCSW 1790845469
MICHAEL DAVID LIM L.C.S.W. 1043371321
CAMILA ADORACION BAUM LCSW 1376604900
BETH ALVAREZ SARKAR LCSW 1134281785
DEBORAH SUE MUSSELMAN LCSW 1780740316
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.