Crystal Kolb Condry, LGSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

19624 Issued in MD

Practice address

12502 Willowbrook Road
Suite 380
Cumberland, MD 21502-6592

Phone

(240) 964-8585

Fax

(240) 964-8586

NPI assigned

Mar 1, 2013

Last updated

Mar 1, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Associated Catholic Charities IncGroup PAC ID 8527101351, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Associated Catholic Charities, Inc.

  dba Catholic Charities of Lansdowne

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1073639159
  Medicare reassignment Care Compare group NPD
• Associated Catholic Charities, Inc

  dba Villa Maria of Frederick County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Frederick, MD
  • NPI 1174788434
  NPD
• Associated Catholic Charities, Inc

  dba Villa Maria of Fallsway

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1972066629
  NPD

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

{
    "created_epoch": "1362096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362096000000",
    "number": "1083954986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12502 WILLOWBROOK ROAD",
            "address_2": "SUITE 380",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215026592",
            "telephone_number": "240-964-8585",
            "fax_number": "240-964-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12502 WILLOWBROOK ROAD",
            "address_2": "SUITE 380",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215026592",
            "telephone_number": "240-964-8585",
            "fax_number": "240-964-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDRY",
        "first_name": "CRYSTAL",
        "middle_name": "KOLB",
        "credential": "LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-01",
        "last_updated": "2013-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "19624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Comprehensive Rehab Consultants PLLC
• Comprehensive Rehab Consultants PLLC
• Comptroller of Maryland Central Payroll Bureau
• Concerted Care Group Cumberland LLC
• Concerted Care Group Cumberland LLC
• Jane Marie Connell, MS, LCPC
• Ashley D Conrad, PHARMD
• Amber Conway
• Keeley Cook, PA-C
• Hannah Marie Corcoran, LGPC

• Social Worker in Cumberland, MD
• Providers in Cumberland, MD by specialty
• Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.