Active NPI
Crystal Dawn Durrett, LCSW
- Clinical Social Worker
- Eureka, CA
National Provider Identifier
1982871844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW 25570
- Practice address
- 427 F St Ste 234
Eureka, CA 95501-1037 - Phone
- (707) 954-7060
- NPI assigned
- May 9, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ASW 19042 | CA | |
| Clinical Social Worker | 1041C0700X | LCSW 25570 | CA | Primary |
Addresses
Primary practice location
427 F St Ste 234
Eureka, CA 95501-1037
Mailing address
427 F St Ste 234
Eureka, CA 95501-1037
Phone (707) 954-7060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
427 F St
Suite 234
Eureka, CA 95501-1037
Phone (707) 717-9599
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW 19042 | CA | MD | Clinical Social Worker |
| LCSW 25570 | CA | MD | Clinical Social Worker |
| 25570 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crystal Durrett, Licensed Clinical Social Worker, PC | Current | Accepting new patients | |
| Remi Vista, Inc. | Past | Accepting new patients |
Locations
508 H St
Ste 3
Crescent City, CA 95531
Phone (707) 465-1585
427 F St
Ste 234
Eureka, CA 95501
Phone (707) 954-7060
427 F St
Ste 223
Eureka, CA 95501
Phone (650) 733-3245
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.
-
- Community/Behavioral Health Agency
- Eureka, CA
- NPI 1730799925
-
- Case Management Agency
- Crescent City, CA
- NPI 1578516175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706400000000",
"number": "1982871844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "427 F ST STE 234",
"city": "EUREKA",
"state": "CA",
"postal_code": "955011037",
"telephone_number": "707-954-7060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "427 F ST STE 234",
"city": "EUREKA",
"state": "CA",
"postal_code": "955011037",
"telephone_number": "707-954-7060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURRETT",
"first_name": "CRYSTAL",
"middle_name": "DAWN",
"name_prefix": "Miss",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-09",
"last_updated": "2024-01-28",
"certification_date": "2024-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW 19042",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW 25570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.