Active NPI
Krystal Grant-Crutchfield, LSW
- Social Worker
- Colorado Springs, CO
National Provider Identifier
1104609874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- MSLSW.0000000012
- Practice address
- 4360 Montebello Dr
Colorado Springs, CO 80918-7204 - Phone
- (719) 649-9778
- NPI assigned
- Aug 16, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | MSLSW.0000000012 | CO | Primary |
Addresses
Primary practice location
4360 Montebello Dr
Colorado Springs, CO 80918-7204
Mailing address
2955 New Center PT # 1025
Colorado Springs, CO 80922-2806
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MSLSW.0000000012 | CO | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692144000000",
"number": "1104609874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2955 NEW CENTER PT # 1025",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809222806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4360 MONTEBELLO DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809187204",
"telephone_number": "719-649-9778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT-CRUTCHFIELD",
"first_name": "KRYSTAL",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-16",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CO",
"license": "MSLSW.0000000012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.