Organization Active NPI

Crystal Thomas, Psychotherapist

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1366397382
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CRYSTAL THOMAS, PSYCHOTHERAPIST
Practice address
5055 N Damen Ave Apt 3W
Chicago, IL 60625-1341
Phone
(312) 995-9612
NPI assigned
Mar 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Authorized official

Name
Crystalann Sasha Thomas, LCSWNPI 1487165304
Title
Manager
Phone
(312) 995-9612

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: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

5055 N Damen Ave Apt 3W
Chicago, IL 60625-1341

Mailing address

5055 N Damen Ave Apt 3W
Chicago, IL 60625-1341
Phone (312) 995-9612

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": "1772582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1366397382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5055 N DAMEN AVE APT 3W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606251341",
            "telephone_number": "312-995-9612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5055 N DAMEN AVE APT 3W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606251341",
            "telephone_number": "312-995-9612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL THOMAS, PSYCHOTHERAPIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-04",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "CRYSTALANN",
        "authorized_official_middle_name": "SASHA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "312-995-9612",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.