Crystal M Russell, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

I.2405792-SUPV Issued in OH

Practice address

6263 Honey Farm Way
Grove City, OH 43123-3842

Phone

(518) 669-4302

NPI assigned

Nov 20, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/rurecoveryinc/r4/

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.

• Rise Up Recovery, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lancaster, OH
  • NPI 1235809807
  NPD (past)
• Rise Up Recovery, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lancaster, OH
  • NPI 1831869577
  NPD (past)

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764979200000",
    "number": "1982078481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6263 HONEY FARM WAY",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431233842",
            "telephone_number": "518-669-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6263 HONEY FARM WAY",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431233842",
            "telephone_number": "518-669-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "CRYSTAL",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-20",
        "last_updated": "2025-12-06",
        "certification_date": "2025-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088102",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW20253",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.2405792-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Royal Care LLC
• Cayton Ruby, DPT
• Samantha Rose Ruhlen
• Gregory L Runser, M.D.
• Ashley Krystal Russell, LCSW
• Michael Paul Ryan, PHARMD
• Aubrey Rybarczyk
• Safehaven Mobility Services LLC
• Safehaven Mobility Services LLC
• Fatmata Sakanoko

• Social Worker in Grove City, OH
• Providers in Grove City, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.