Individual provider Active NPI

Jason Chrystal, LMSW

  • Clinical Social Worker
  • Elkton, MD
National Provider Identifier
1972196780
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
26838 Issued in MD
Practice address
364 Fair Hill Dr Ste E
Elkton, MD 21921-2539
Phone
(443) 687-9976
NPI assigned
Feb 12, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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 26838 MD Primary

Addresses

Primary practice location

364 Fair Hill Dr Ste E
Elkton, MD 21921-2539

Mailing address

7 Jackson Ave
North East, MD 21901-2019
Phone (410) 207-4783

Other practice location 1

7 Jackson Ave
North East, MD 21901-2019
Phone (410) 207-4783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20250520001910 MD Practitioner - Clinical Social Worker 1153849419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

364 Fair Hill Dr
Suite E
Elkton, MD 21921-2539
Phone (443) 687-9976

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26838MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jason Chrystal LLC CurrentSince May 14, 2025 Accepting new patients

Locations

364 Fair Hill Dr
Ste E
Elkton, MD 21921
Phone (443) 687-9976

Organizations & group practices 1

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": "1613088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1972196780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 JACKSON AVE",
            "city": "NORTH EAST",
            "state": "MD",
            "postal_code": "219012019",
            "telephone_number": "410-207-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 FAIR HILL DR STE E",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219212539",
            "telephone_number": "443-687-9976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Jackson Ave",
            "address_purpose": "LOCATION",
            "city": "North East",
            "state": "MD",
            "postal_code": "219012019",
            "country_code": "US",
            "telephone_number": "410-207-4783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRYSTAL",
        "first_name": "JASON",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-12",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "26838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

Verify at the official NPI Registry.