Individual provider Active NPI

Crystal M Tyree, MSW, SWAICL

  • Clinical Social Worker
  • Yakima, WA
National Provider Identifier
1609231323
Registry record updated Dec 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SC60430442 Issued in WA
Practice address
5301 Tieton Dr
Yakima, WA 98908-3479
Phone
(509) 965-7100
NPI assigned
Dec 22, 2015
Last updated
Dec 22, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SC60430442 WA Primary

Addresses

Primary practice location

5301 Tieton Dr
Yakima, WA 98908-3479

Mailing address

5301 Tieton Dr
Yakima, WA 98908-3479
Phone (506) 965-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20240822001135 WA Practitioner - Clinical Social Worker 6608315635 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Counseling and Psychotherapy LLCGroup PAC ID 1052471240, 3 clinicians

Practice addresses (Care Compare)

1015 S 40TH Ave
Suite 21 23
Yakima, WA 98908-3806
Phone (253) 961-3629

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC60430442WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Soul Connections, PLLC Clinical CurrentSince Mar 11, 2025 Accepting new patients
Center for Counseling & Psychotherapy LLC CurrentSince Jul 1, 2024 Accepting new patients

Locations

1015 S 40th Ave
Ste 2123
Yakima, WA 98908
Phone (253) 961-3629

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450742400000",
    "number": "1609231323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 TIETON DR",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083479",
            "telephone_number": "506-965-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 TIETON DR",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083479",
            "telephone_number": "509-965-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYREE",
        "first_name": "CRYSTAL",
        "middle_name": "M",
        "credential": "MSW, SWAICL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-22",
        "last_updated": "2015-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC60430442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.