Individual provider Active NPI

Crystal McLean, LCSWA

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1376225524
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P021885 Issued in NC
Practice address
3937 Tamerlane
Charlotte, NC 28205-4959
Phone
(315) 868-0071
NPI assigned
Aug 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 18330 SC
Social Worker 104100000X B001228 NC
Social Worker 104100000X 111116 TX
Social Worker 104100000X MSW012443 GA
Clinical Social Worker 1041C0700X P021885 NC Primary

Addresses

Primary practice location

3937 Tamerlane
Charlotte, NC 28205-4959

Mailing address

8290 Number 2 Rd E
Manlius, NY 13104-8795
Phone (315) 868-0071

Other practice location 1

4651 Charlotte Park Dr Ste 101C
Charlotte, NC 28217-1916
Phone (980) 704-2419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MSW012443GAMDSocial Worker
B001228NCMDSocial Worker
18330SCMDSocial Worker
111116TXMDSocial Worker
P021885NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bobbi L Petranchuk LCSW PLLC Clinical CurrentSince Feb 18, 2024 Accepting new patients

Organizations & group practices 1

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": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1376225524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8290 NUMBER 2 RD E",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131048795",
            "telephone_number": "315-868-0071",
            "fax_number": "855-485-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3937 TAMERLANE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282054959",
            "telephone_number": "315-868-0071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4651 Charlotte Park Dr Ste 101C",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282171916",
            "country_code": "US",
            "telephone_number": "980-704-2419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLEAN",
        "first_name": "CRYSTAL",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-07",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SC",
            "license": "18330",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NC",
            "license": "B001228",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "111116",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW012443",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P021885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.