Individual provider Active NPI

Crystal August, LCSW-C

  • Clinical Social Worker
  • Bethesda, MD
National Provider Identifier
1114342672
Registry record updated Feb 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3235 Issued in MD
Practice address
4940 Hampden LN
Suite #210
Bethesda, MD 20814-2945
Phone
(301) 951-0408
Fax
(301) 657-4268
NPI assigned
Feb 20, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2014

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 3235 MD Primary

Addresses

Primary practice location

4940 Hampden LN
Suite #210
Bethesda, MD 20814-2945

Mailing address

4940 Hampden LN
Suite #210
Bethesda, MD 20814-2945
Phone (301) 951-0408

Other names 1

  • Crystal Marcus Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3235MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Waters Psychotherapy, LLC Clinical Past Accepting new patients

Organizations & group practices 1

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": "1392854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392854400000",
    "number": "1114342672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 HAMPDEN LN",
            "address_2": "SUITE #210",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142945",
            "telephone_number": "301-951-0408",
            "fax_number": "301-657-4268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 HAMPDEN LN",
            "address_2": "SUITE #210",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142945",
            "telephone_number": "301-951-0408",
            "fax_number": "301-657-4268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUGUST",
        "first_name": "CRYSTAL",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-20",
        "last_updated": "2014-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "3235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "MARCUS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.