Crystal Nicole Pettrey, LGSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW062517538 Issued in WV

Practice address

120 Professional PL Ste 101
Bridgeport, WV 26330-4599

Phone

(304) 513-3495

NPI assigned

Jun 23, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• GR&W, Inc

  dba GR&W Harmony

  • Clinical Neuropsychologist
  • Morgantown, WV
  • NPI 1407192024
  NPD (past)
• Myers & Associates Counseling Center, LLC

  • Mental Health Counselor
  • Princeton, WV
  • NPI 1346005048
  NPD (past)
• Myers & Associates Counseling Center, LLC

  • Community/Behavioral Health Agency
  • Princeton, WV
  • NPI 1427885276
  NPD (past)

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

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1215824990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 LEAH DR",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247399150",
            "telephone_number": "304-952-2693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 PROFESSIONAL PL STE 101",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263304599",
            "telephone_number": "304-513-3495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "152 Misty Ln",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "WV",
            "postal_code": "247406462",
            "country_code": "US",
            "telephone_number": "304-223-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "221 George St",
            "address_purpose": "LOCATION",
            "city": "Beckley",
            "state": "WV",
            "postal_code": "258012609",
            "country_code": "US",
            "telephone_number": "681-238-6634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETTREY",
        "first_name": "CRYSTAL",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-23",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WV",
            "license": "SW062517538",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "SW062517538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wesley S Pepper, D.C.
• Azalee Perrine, CM
• Christel Pervola
• Andrea J Peters, LGSW
• Marcus A Peters, MD
• Jennifer Dell Pettus, PTA
• Pharmcorx LLC
• Cathy Joan Phillips
• Curtis Phillips
• Mary-Ann Phillips, M.D.

• Social Worker in Bridgeport, WV
• Providers in Bridgeport, WV by specialty
• Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; 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.