Individual provider Active NPI

Crystal Thorpe, LCSW-C

  • Clinical Social Worker
  • Largo, MD
National Provider Identifier
1629201694
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15266 Issued in MD
Practice address
9475 Lottsford Rd
Suite 250
Largo, MD 20774-5357
Phone
(301) 636-6504
NPI assigned
Aug 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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 15266 MD Primary

Addresses

Primary practice location

9475 Lottsford Rd
Suite 250
Largo, MD 20774-5357

Mailing address

9475 Lottsford Rd Ste 250
Largo, MD 20774-5346
Phone (301) 636-6504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20150108002104 DC Practitioner - Clinical Social Worker 9537482005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Qci Behavioral Health Consulting Group, LLCGroup PAC ID 3971665969, 18 clinicians

Practice addresses (Care Compare)

9475 Lottsford Rd
Suite 250
Largo, MD 20774-5346
Phone (301) 636-6504

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Made Easy LLC Clinical CurrentSince Jun 11, 2023 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1629201694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9475 LOTTSFORD RD STE 250",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745346",
            "telephone_number": "301-636-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9475 LOTTSFORD RD",
            "address_2": "SUITE 250",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745357",
            "telephone_number": "301-636-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORPE",
        "first_name": "CRYSTAL",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-25",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, MD

Sources for this page

Verify at the official NPI Registry.