Crystal Ann Weiss, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW10274 Issued in FL

Practice address

50 Leanni Way Unit C4
Palm Coast, FL 32137-4755

Phone

(407) 739-1832

NPI assigned

Jul 1, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Nurture From Within Counseling LLC

  • Clinical Social Worker
  • Palm Coast, FL
  • NPI 1811742216
  NPD

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699056000000",
    "number": "1376772004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840149",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320800149",
            "telephone_number": "407-796-1832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 LEANNI WAY UNIT C4",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321374755",
            "telephone_number": "407-739-1832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "CRYSTAL",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-01",
        "last_updated": "2023-11-04",
        "certification_date": "2023-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedra Weber
• Raymond Louis Weiand, D.O.
• Matt Weinberg
• Aurora A Weinlein, PHARMACIST
• Charles Weiss, MD
• Wellness One Chiropractic LLC
• Elijah Gordon Wells, PA-C
• West Orange Palm Coast Dialysis Center LLC
• West Shore Chiropractic
• Whaley Inc

• Clinical Social Worker in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.