Active NPI
Crystal Renee Hambrick
- Social Worker
- Princeton, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- BP00944623
- Practice address
- 3997 Beckley Rd
Princeton, WV 24740-7660 - Phone
- (304) 431-5499
- NPI assigned
- Oct 31, 2019
- Last updated
- Sep 8, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | BP00944623 | WV | Primary |
Addresses
Primary practice location
3997 Beckley Rd
Princeton, WV 24740-7660
Mailing address
200 12TH Street Ext
Princeton, WV 24740-2329
Phone (304) 425-9541
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005489001 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
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
- Bluestone Health Association, Inc.
Practice addresses (Care Compare)
3997 Beckley Rd
Princeton, WV 24740-7660
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bluestone Health Association, Inc. | Current | Accepting new patients | |
| Bluestone Health Association, Inc. | Current | Accepting new patients | |
| Bluestone Health Association, Inc. | Current | Accepting new patients | |
| Bluestone Health Association, Inc. | Current | Accepting new patients | |
| Bluestone Health Association, Inc. | Current | Accepting new patients | |
| Bluestone Health Association, Inc. | Current | Accepting new patients |
Locations
154 Majestic Pl
Bluefield, WV 24701
Phone (304) 409-6720
701 Bland St
Bluefield, WV 24701
Phone (304) 800-5413
106 Thorn St
Princeton, WV 24740
Phone (304) 314-7501
200 12th Street Ext
Princeton, WV 24740
Phone (304) 425-9541
3997 Beckley Rd
Princeton, WV 24740
Phone (304) 431-5499
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71392
Organizations & group practices 6
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.
-
dba Bluestone Primary Care
- Federally Qualified Health Center (FQHC)
- Princeton, WV
- NPI 1003453317
-
dba Bluestone Pinnacle Primary Care
- Federally Qualified Health Center (FQHC)
- Bluefield, WV
- NPI 1174402572
-
- Federally Qualified Health Center (FQHC)
- Princeton, WV
- NPI 1346266848
-
dba Bluestone Medical Center
- Federally Qualified Health Center (FQHC)
- Princeton, WV
- NPI 1437508314
-
dba Bluestone Family Practice
- Federally Qualified Health Center (FQHC)
- Bluefield, WV
- NPI 1770950396
-
dba Prudich Medical Center
- Federally Qualified Health Center (FQHC)
- Montcalm, WV
- NPI 1043387327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757289600000",
"number": "1760026934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 12TH STREET EXT",
"city": "PRINCETON",
"state": "WV",
"postal_code": "247402329",
"telephone_number": "304-425-9541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3997 BECKLEY RD",
"city": "PRINCETON",
"state": "WV",
"postal_code": "247407660",
"telephone_number": "304-431-5499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMBRICK",
"first_name": "CRYSTAL",
"middle_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-31",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WV",
"license": "BP00944623",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0005489001",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Princeton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.