Individual provider · Type 1 NPI
Chrystal Dawn Liebold-Johnson, LCSW
Clinical Social Worker · Philadelphia, PA
Practice location
4529 Saint Davids St Unit 101
Philadelphia, PA 19127-1216
Mailing address
4529 Saint Davids St
Philadelphia, PA 19127-1216
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 77002 (CA) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1578092979
Chrystal Dawn Liebold-Johnson, LCSW's National Provider Identifier is 1578092979, issued on Jun 8, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Philadelphia, PA. The record was last updated on Feb 12, 2026.