Provider Demographics
NPI:1609877844
Name:CRAIG, TERRI LYNN (LCSW)
Entity type:Individual
Prefix:MS
First Name:TERRI
Middle Name:LYNN
Last Name:CRAIG
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:713 WADDELL AVE
Mailing Address - Street 2:
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-4728
Mailing Address - Country:US
Mailing Address - Phone:410-707-4319
Mailing Address - Fax:
Practice Address - Street 1:NAVAL BRANCH HEALTH CLINIC KEY WEST FLORIDA
Practice Address - Street 2:1300 DOUGLAS CIRCLE
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040
Practice Address - Country:US
Practice Address - Phone:305-293-4838
Practice Address - Fax:866-467-5868
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0018711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical