Crystal R. Hurndon, LCSW-C, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11491 Issued in MD

Practice address

10410 Kensington Pkwy
Suite 221
Kensington, MD 20895-2943

Phone

(202) 247-1540

NPI assigned

Jul 29, 2014

Last updated

Jul 29, 2014By 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

Enrolled in NM

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

Specialty

Clinical Social Worker

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Counseling AlbuquerqueGroup PAC ID 9830668045, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Counseling Albuquerque

  dba Counseling Albuquerque Women

  • Adult Mental Health Clinic/Center
  • Albuquerque, NM
  • NPI 1386279297
  Medicare reassignment Care Compare group
• Southwest Cares NV LLC

  • Clinical Psychologist
  • Santa Fe, NM
  • NPI 1053632851
  NPD (past)

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406592000000",
    "number": "1841608312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3403 VARNUM ST",
            "city": "BRENTWOOD",
            "state": "MD",
            "postal_code": "207221345",
            "telephone_number": "202-247-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10410 KENSINGTON PKWY",
            "address_2": "SUITE 221",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208952943",
            "telephone_number": "202-247-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURNDON",
        "first_name": "CRYSTAL",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "credential": "LCSW-C, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-29",
        "last_updated": "2014-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11491",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC303255",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tim B. Hopkins, M.D.
• Evan Hoppman
• Jannatul Shan Hoque, FNP
• Michael Thomas Horan, MD
• Leal Hsiao, MD
• Michael Hutchison
• Adora Ilochonwu, MD
• Malik Mohamed-Nur Imam, PHARMD.
• Infinity Nursing Services, Inc.
• Insight Care LLC

• Clinical Social Worker in Kensington, MD
• Providers in Kensington, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; 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.

Verify at the official NPI Registry.