Autumn Cry-Mark

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

2275 Central Ave
McKinleyville, CA 95519-3611

Phone

(707) 839-1549

NPI assigned

May 27, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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 and National Provider Directory roles.

• McKinleyville Union School District

  • Local Education Agency (LEA)
  • McKinleyville, CA
  • NPI 1093841918
  NPD (past)

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

{
    "created_epoch": "1779840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1912838996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4564 VALLEY WEST BLVD APT D",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955214650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 CENTRAL AVE",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955193611",
            "telephone_number": "707-839-1549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRY-MARK",
        "first_name": "AUTUMN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-27",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Dawn Colegrove-Fullerton
• Ashley Dominique Cook
• Nathan Ransom Copple, MD
• Angela Cotherman, M.S., CCC-SLP
• Mercedes Lucille Cox
• Romy Daou, PHARMD
• Tylor D Davis
• Melene Deann Doney, R.N
• DRS Macfarlane & Ruprecht
• Gary Duprat

• Social Worker in McKinleyville, CA
• Providers in McKinleyville, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.