Individual provider Active NPI

Crystal Sue Edwards, LMSW

  • Clinical Social Worker
  • Anchorage, AK
National Provider Identifier
1356907422
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
151869 Issued in AK
Practice address
821 N St
Anchorage, AK 99501-3285
Phone
(785) 320-1708
NPI assigned
May 14, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 216209 AK
Clinical Social Worker 1041C0700X 151869 AK Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 5100 AK

Addresses

Primary practice location

821 N St
Anchorage, AK 99501-3285

Mailing address

PO Box 870192
Wasilla, AK 99687-0192

Other names 1

  • Crystal Sue Vaughan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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

Enrollment IDStateProvider typePAC IDDetails
I20230217002489 AK Practitioner - Clinical Social Worker 7315319464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunshine Community Health Center Inc 12 clinicians

Practice addresses (Care Compare)

24091 W Long Lake Rd
Willow, AK 99688-0519
Phone (907) 495-4100

PO Box
Suite 932
Talkeetna, AK 99676

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Community Health Center, Inc CurrentSince Nov 15, 2022 Accepting new patients
Sunshine Community Health Center Inc CurrentSince Nov 15, 2022 Accepting new patients
Alaska Full Circle Counseling Solutions LLC Past Accepting new patients
Restoring Balance Counseling Addiction (Substance Use Disorder) Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: crystal.edwards.1@27018.direct.athenahealth.com

Organizations & group practices 5

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": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1356907422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 870192",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996870192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 N ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995013285",
            "telephone_number": "785-320-1708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "CRYSTAL",
        "middle_name": "SUE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-14",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AK",
            "license": "216209",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "151869",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AK",
            "license": "5100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "VAUGHAN",
            "middle_name": "SUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.