Crysta B Gardner

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C12225 Issued in MS

Practice address

4836 Main St
Moss Point, MS 39563-2700

Phone

(601) 207-3928

NPI assigned

Nov 3, 2025

Last updated

Sep 11, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Anchor Point Counseling and Wellness

  • Community/Behavioral Health Agency
  • Moss Point, MS
  • NPI 1528974375
  NPD (past) Authorized official

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

{
    "created_epoch": "1762128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1811866239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2555",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395692555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4836 MAIN ST",
            "city": "MOSS POINT",
            "state": "MS",
            "postal_code": "395632700",
            "telephone_number": "601-207-3928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 2555",
            "address_purpose": "LOCATION",
            "city": "Pascagoula",
            "state": "MS",
            "postal_code": "395692555",
            "country_code": "US",
            "telephone_number": "601-207-3928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "CRYSTA",
        "middle_name": "B",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-03",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C12225",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "7015C",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Care Center LLC (Family Care Center)
• Pamila Sue Ferguson
• Steven B. Fineburg, MD
• Gale Primary Care, LLC
• Tammy Jo Gale, MSN, FNP
• Kendra S Gardner, NP
• GM Transportation, LLC
• Godfrey Therapy Services
• Angela S Godfrey, MS,CCC-SLP
• Kamryn Alexis Godwin

• Clinical Social Worker in Moss Point, MS
• Providers in Moss Point, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.