Individual provider Active NPI

Crystal G Perkins, LCSW

  • Clinical Social Worker
  • Williamsburg, VA
National Provider Identifier
1003670431
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904016288 Issued in VA
Practice address
921 Capitol Landing Rd
Williamsburg, VA 23185-4348
Phone
(757) 253-4074
NPI assigned
Feb 7, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904016288 VA Primary

Addresses

Primary practice location

921 Capitol Landing Rd
Williamsburg, VA 23185-4348

Mailing address

921 Capitol Landing Rd
Williamsburg, VA 23185-4348
Phone (757) 253-4074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Colonial Behavioral Health CurrentSince Feb 6, 2024 Accepting new patients
Colonial Behavioral Health Past Accepting new patients

Locations

1657 Merrimac Trl
Williamsburg, VA 23185
Phone (757) 220-3200

921 Capitol Landing Rd
Williamsburg, VA 23185
Phone (757) 253-4074

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/2b8c86f5-c497-45b0-94ed-0102e20d1c70/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1003670431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 CAPITOL LANDING RD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231854348",
            "telephone_number": "757-253-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 CAPITOL LANDING RD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231854348",
            "telephone_number": "757-253-4074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "CRYSTAL",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904016288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.