Crystal M Sanders

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW04508 Issued in RI

Practice address

1200 Hartford Ave Unit 112a
Johnston, RI 02919-7141

Phone

(401) 321-4574

NPI assigned

May 24, 2022

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

Other names 1

• Crystal M Castro Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Until It Lifts Counseling LLC

  • Mental Health Counselor
  • Johnston, RI
  • NPI 1982595138
  NPD Authorized official

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1942948492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 PATRIOT WAY",
            "city": "WEST GREENWICH",
            "state": "RI",
            "postal_code": "028176094",
            "telephone_number": "985-870-5884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HARTFORD AVE UNIT 112A",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029197141",
            "telephone_number": "401-321-4574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4121 Patriot Way",
            "address_purpose": "LOCATION",
            "city": "West Greenwich",
            "state": "RI",
            "postal_code": "028176094",
            "country_code": "US",
            "telephone_number": "985-870-5884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "CRYSTAL",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-24",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW04508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "CASTRO",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• S-H Thirty-Five Opco - Pocasset, LLC
• Savita Manoj Sahoo, OTR/L
• Lindsey Salley
• John Anthony Sanacore, MD
• Jeniann Michelle Sanchez Pena, MS
• Alexia Sanford, MA, LMHC-A
• Ashley Santospago
• Alberto Rinaldo Savoretti, M.D.
• Frank Savoretti, MD
• Julia Savoretti, RN

• Clinical Social Worker in Johnston, RI
• Providers in Johnston, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.