Crystal Dawn Shaffer, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW017028 Issued in PA

Practice address

310 Central City Plaza
Family Services of Western PA
New Kensington, PA 15068

Phone

(724) 335-9883

Fax

(724) 335-2730

NPI assigned

Jun 20, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Crystal Dawn Copenhaver Former name

Medicare fee-for-service enrollment

Enrolled in PA

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

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 and National Provider Directory roles.

• Allegheny Mental Health Associates PC

  • Social Worker
  • Pittsburgh, PA
  • NPI 1912001082
  Medicare reassignment NPD

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315267200000",
    "number": "1194920892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 WILLIAM PITT WAY",
            "address_2": "FAMILY SERVICES OF WESTERN PA",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15238",
            "telephone_number": "412-820-2050",
            "fax_number": "412-820-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 CENTRAL CITY PLAZA",
            "address_2": "FAMILY SERVICES OF WESTERN PA",
            "city": "NEW KENSINGTON",
            "state": "PA",
            "postal_code": "15068",
            "telephone_number": "724-335-9883",
            "fax_number": "724-335-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "CRYSTAL",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-20",
        "last_updated": "2011-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW124599",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "COPENHAVER",
            "middle_name": "DAWN",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole Maria Scandrol, PHARMD
• Carl Elmer Scheler, MD
• Donald R Schowalter, MD
• Dawn Marie Seich, CRNP
• Kelli Rose Sembower
• Jashwant K Sharma, MD
• Melissa Shaw, LCSW
• Louise Angela Shearon
• Kultar Shergill, MD
• Jonathan Charles Simmen, LCSW, LSW, MSW

• Clinical Social Worker in New Kensington, PA
• Providers in New Kensington, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.