Individual provider Active NPI

Meredith Chrystie

  • Clinical Social Worker
  • Riverview, FL
National Provider Identifier
1649804675
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW17045 Issued in FL
Practice address
6338 US Highway 301 S
Riverview, FL 33578-3829
Phone
(813) 419-3386
NPI assigned
Feb 28, 2020
Last updated
Jun 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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 SW17045 FL Primary

Addresses

Primary practice location

6338 US Highway 301 S
Riverview, FL 33578-3829

Mailing address

12014 Legacy Bright St
Riverview, FL 33578-0002

Other practice location 1

13324 Telecom Dr
Temple Terrace, FL 33637-0938
Phone (813) 419-3386

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200320001460 FL Practitioner - Clinical Social Worker 4587092820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Truecandor Behavioral Health, LLCGroup PAC ID 9830504034, 13 clinicians

Practice addresses (Care Compare)

13324 Telecom Dr
Temple Terrace, FL 33637-0938
Phone 8134193386106

6320 US Hwy 301 S
Riverview, FL 33578-3829
Phone 8134193386106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW17045FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Truecandor Behavioral Health, LLC Clinical CurrentSince Nov 1, 2021 Accepting new patients
Cotler Children and Family Services, LLC Past Accepting new patients

Locations

6320 US Highway 301 S
Riverview, FL 33578
Phone (813) 419-3386

6338 US Highway 301 S
Riverview, FL 33578
Phone (813) 245-2148

13324 Telecom Dr
Temple Terrace, FL 33637
Phone (813) 419-3386

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": "1582848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1649804675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12014 LEGACY BRIGHT ST",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335780002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6338 US HIGHWAY 301 S",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335783829",
            "telephone_number": "813-419-3386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13324 Telecom Dr",
            "address_purpose": "LOCATION",
            "city": "Temple Terrace",
            "state": "FL",
            "postal_code": "336370938",
            "country_code": "US",
            "telephone_number": "813-419-3386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRYSTIE",
        "first_name": "MEREDITH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-28",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW17045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

Verify at the official NPI Registry.