Individual provider Active NPI

Crystal Juliette Kania, LMSW

  • Clinical Social Worker
  • Fenton, MI
National Provider Identifier
1710432471
Registry record updated Sep 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801106458 Issued in MI
Practice address
1100 Torrey Rd Ste 100
Fenton, MI 48430-3327
Phone
(517) 882-3732
Fax
(517) 882-3633
NPI assigned
Aug 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 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 6801106458 MI Primary

Addresses

Primary practice location

1100 Torrey Rd Ste 100
Fenton, MI 48430-3327

Mailing address

1100 Torrey Rd Ste 100
Fenton, MI 48430-3327
Phone (517) 882-3732

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20200312001579 MI Practitioner - Clinical Social Worker 9931537594 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Downriver Mental Health Clinic PCGroup PAC ID 7911995139, 289 clinicians

Practice addresses (Care Compare)

1100 Torrey Rd
Suite 100
Fenton, MI 48430-3327
Phone (810) 494-7180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Downriver Mental Health Clinic PC Clinical CurrentSince Jul 1, 2022 Accepting new patients
Training & Treatment Innovations Inc CurrentSince Feb 1, 2020 Accepting new patients
Training and Treatment Innovations Inc CurrentSince Feb 1, 2020 Accepting new patients
Downriver Mental Health Clinic PC Clinical CurrentSince Jul 1, 2022 Accepting new patients

Locations

1400 Abbot Rd
Ste 400
East Lansing, MI 48823
Phone (810) 220-2787

1100 Torrey Rd
Ste 100
Fenton, MI 48430
Phone 8104947180106

929 Stevens St
Flint, MI 48502
Phone (810) 232-6081

1450 S Lapeer Rd
Oxford, MI 48371
Phone (248) 969-9932

1225 E Big Beaver Rd
Troy, MI 48083
Phone (248) 524-8801

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.crystalkania@150339.advancedmd-direct.com

Organizations & group practices 4

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": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758931200000",
    "number": "1710432471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 TORREY RD STE 100",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484303327",
            "telephone_number": "517-882-3732",
            "fax_number": "517-882-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 TORREY RD STE 100",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484303327",
            "telephone_number": "517-882-3732",
            "fax_number": "517-882-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANIA",
        "first_name": "CRYSTAL",
        "middle_name": "JULIETTE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-23",
        "last_updated": "2025-09-27",
        "certification_date": "2025-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801106458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fenton, MI

Sources for this page

Verify at the official NPI Registry.