Crystal Durrett, Licensed Clinical Social Worker, PC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CRYSTAL DURRETT, LICENSED CLINICAL SOCIAL WORKER, PC

Practice address

427 F St Ste 234
Eureka, CA 95501-1037

Phone

(707) 954-7060

NPI assigned

Aug 3, 2020

Last updated

Nov 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Crystal Dawn Durrett, LCSWNPI 1982871844

Title

President

Phone

(707) 954-7060

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Crystal Dawn Durrett, LCSW

  • Clinical Social Worker
  • Eureka, CA
  • NPI 1982871844
  Medicare reassignment NPD Authorized official
• Bryony Shaw, MA LMFT LAADC-CA

  • Marriage & Family Therapist
  • Eureka, CA
  • NPI 1053616953
  NPD (past)

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1730799925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 F ST STE 234",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955011037",
            "telephone_number": "707-954-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 F ST STE 234",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955011037",
            "telephone_number": "707-954-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL DURRETT, LICENSED CLINICAL SOCIAL WORKER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-03",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "DURRETT",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-954-7060",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Howard Nelson Croy Jr., DPT
• Kristine Croy, RDH
• Robyn Anne Cruey
• Christine Cruz-Gorski, RN
• Denisse Stefany Cruz-Molina, RN
• Roxann Riccio Cuda, BS, CCSP
• Ricardo Cueva
• Helen Irene Culver, REGISTERED NURSE PUB
• Alejandro Curiel
• Avyonne Taria Currington, SUDRC-II

• Community/Behavioral Health Agency in Eureka, CA
• Providers in Eureka, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.