Organization Active NPI

Crystal Clear Interventions, LLC

  • Clinical Social Worker
  • Montgomery, AL
National Provider Identifier
1316567506
Registry record updated Sep 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CRYSTAL CLEAR INTERVENTIONS, LLC
Practice address
6068 Little LN
Montgomery, AL 36117-2737
Phone
(334) 294-9892
NPI assigned
Apr 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2020

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

Authorized official

Name
Ms. Crystal Nicole Norris, LICSW, PIPNPI 1265051130
Title
Owner/Clinical Social Worker
Phone
(334) 430-0058

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

6068 Little LN
Montgomery, AL 36117-2737

Mailing address

6068 Little LN
Montgomery, AL 36117-2737
Phone (334) 294-9892

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599350400000",
    "number": "1316567506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6068 LITTLE LN",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361172737",
            "telephone_number": "334-294-9892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6068 LITTLE LN",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361172737",
            "telephone_number": "334-294-9892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL CLEAR INTERVENTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-17",
        "last_updated": "2020-09-06",
        "certification_date": "2020-09-06",
        "status": "A",
        "authorized_official_last_name": "NORRIS",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "334-430-0058",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW, PIP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2020; 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.