Individual provider Active NPI

Crystal Leann Anderson-Shrieves, LCSW

  • Clinical Social Worker
  • Briarwood, NY
National Provider Identifier
1912478355
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
078162 Issued in NY
Practice address
8570 148TH St
Briarwood, NY 11435-2832
Phone
(718) 674-8090
Fax
(718) 657-5403
NPI assigned
Dec 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 078162 NY Primary

Addresses

Primary practice location

8570 148TH St
Briarwood, NY 11435-2832

Mailing address

8570 148TH St
Briarwood, NY 11435-2832
Phone (718) 674-8090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240507003167 NY Practitioner - Clinical Social Worker 3577904697 Reassigns benefits to 1 organization
I20260429002368 CA Practitioner - Clinical Social Worker 3577904697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Talkspace Medical Services Ny PCGroup PAC ID 0143671966, 44 clinicians

Practice addresses (Care Compare)

9 Railside Ave
FL 10
White Plains, NY 10605-3408
Phone (212) 284-7206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
078162NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Talkspace Medical Services Ny PC CurrentSince Mar 31, 2024 Accepting new patients

Locations

2578 Broadway
Ste 607
New York, NY 10025
Phone (304) 308-3735

Organizations & group practices 2

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": "1544486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1912478355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8570 148TH ST",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114352832",
            "telephone_number": "718-674-8090",
            "fax_number": "718-657-5403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8570 148TH ST",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114352832",
            "telephone_number": "718-674-8090",
            "fax_number": "718-657-5403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON-SHRIEVES",
        "first_name": "CRYSTAL",
        "middle_name": "LEANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-11",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Briarwood, NY

Sources for this page

Verify at the official NPI Registry.