Individual provider Active NPI

Crystal Truong

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1710633862
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801121552 Issued in MI
Practice address
2335 Burton St SE Ste 210
Grand Rapids, MI 49506-4669
Phone
(616) 236-3600
NPI assigned
Feb 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801121552 MI Primary
Social Worker 104100000X 6801121552 MI

Addresses

Primary practice location

2335 Burton St SE Ste 210
Grand Rapids, MI 49506-4669

Mailing address

4129 N Castle Ridge Dr SE Apt 271
Grand Rapids, MI 49508-8860

Other practice location 1

2100 60th St SE
Grand Rapids, MI 49508-6606
Phone (616) 236-3600

Other practice location 2

3508 Shaffer Ave SE
Grand Rapids, MI 49512-2808
Phone (616) 451-2039 ext. 227

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CrystalTruong@OurHopeAssociation.org Our Hope Association

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
I20260130000975 MI Practitioner - Clinical Social Worker 1052899168 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Resilience Therapy LLCGroup PAC ID 7113337809, 3 clinicians

Practice addresses (Care Compare)

2335 Burton St SE
Suite 210
Grand Rapids, MI 49506-4669
Phone (616) 236-3600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801121552MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Kneip, PH.D., P.C. CurrentSince Jan 29, 2026 Accepting new patients
Resilience Therapy LLC Social Worker CurrentSince Feb 4, 2026 Accepting new patients
New Chapters Counseling Services, PLLC Clinical CurrentSince Feb 4, 2026 Accepting new patients

Locations

6548 Town Center Dr
Ste D
Clarkston, MI 48346
Phone (248) 212-8739

2100 60th St SE
Grand Rapids, MI 49508
Phone (616) 236-3600

2335 Burton St SE
Ste 210
Grand Rapids, MI 49506
Phone (616) 236-3600

89 W South Blvd
Ste 200
Troy, MI 48085
Phone (248) 813-8840

Interoperability endpoints

  • Direct secure messaging: crystaltruong@ourhopeassociation.org

Organizations & group practices 3

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": "1646006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1710633862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4129 N CASTLE RIDGE DR SE APT 271",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495088860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 BURTON ST SE STE 210",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064669",
            "telephone_number": "616-236-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 60th St SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495086606",
            "country_code": "US",
            "telephone_number": "616-236-3600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3508 Shaffer Ave SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495122808",
            "country_code": "US",
            "telephone_number": "616-451-2039 x227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "CRYSTAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-28",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801121552",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801121552",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CrystalTruong@OurHopeAssociation.org",
            "affiliation": "Y",
            "affiliationName": "Our Hope Association",
            "address_1": "3508 Shaffer Ave SE",
            "city": "Grand Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495122808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.