Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184159824 Individual Practitioner Female Practitioner

Crystal Yvonne Mccullum , LICSW

Social Worker • Bremerton, WA

Professional Overview & Biography Verified Profile Summary

Crystal Mccullum, LICSW is a registered healthcare professional specializing in Social Worker in Bremerton, WA. Practice services are available at 1 BOONE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1 Boone Rd

Bremerton, WA 983121894

Telephone 7044889040
Associated Practice Facility / Clinic
🏢 Naval Hospital Bremerton Facility NPI 1760473581

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Bremerton, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
36 Specialists

Practicing in Bremerton, WA (2183 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-02-22
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License VT 089.0130011

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003095811

Doctor of Medicine (M.D.)

Michael Berezhkov

Dental Assistant

NPI 1003331174
Deborah Williams , FNP

Registered Nurse

NPI 1003886797

Family Nurse Practitioner

Dana Therkildsen , IDC

Military Health Care Provider - Independent Duty Corpsman

NPI 1003944836
Dr. William Cogar , DO

Emergency Medicine

NPI 1013083245

Doctor of Osteopathic Medicine (D.O.)

NPI 1013114412

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location February 22, 2023

Registered at 1 BOONE RD, BREMERTON, WA 983121894 (Tel: 7044889040)

📍
Updated Business Mailing Address February 22, 2023

Registered at 5119 BEAR PAW CT NW, SILVERDALE, WA 983839033 (Tel: 7044889040)

📍
Updated Practice Location March 10, 2022

Registered at NMRTU IWAKUNI, FPO, AP 96310 (Tel: 3152534192)

📍
Updated Business Mailing Address March 10, 2022

Registered at PSC 561 BOX 2137, FPO, AP 963100022

👤
Provider Name / Credentials Updated March 10, 2022

Recorded as CRYSTAL MCCULLUM, LICSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2022

Social Worker (License #089.0130011 in VT)

NPI Profile Active May 01, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 01, 2017

Registered at 620 JOHN PAUL JONES CIR, SOCIAL WORK DEPT BLDG 3, PORTSMOUTH, VA 237082111 (Tel: 7579539599)

📍
Updated Business Mailing Address May 01, 2017

Registered at 3921 PRICESFORK BOULEVARD, 307, SUFFOLK, VA 23435 (Tel: 7044889040)

👤
Provider Name / Credentials Updated May 01, 2017

Recorded as CRYSTAL MCCULLUM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 01, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184159824
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 01, 2017
Last Update: February 22, 2023
Sole Proprietor: Yes

Mailing Address

5119 Bear Paw Ct Nw

Silverdale, WA 983839033

Phone: 7044889040

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.