Crystallyn Anne Heron, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904016198 Issued in VA

Practice address

200 Professional Park Dr SE
Blacksburg, VA 24060-6679

Phone

(540) 951-4800

NPI assigned

Apr 23, 2020

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

Enrolled in VA

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

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Heron'S Nest Counseling, PLLC

  • Clinical Social Worker
  • Christiansburg, VA
  • NPI 1538986864
  Medicare reassignment NPD Authorized official
• The Cascade Group Inc

  • Counselor
  • Blacksburg, VA
  • NPI 1043254717
  Medicare reassignment NPD

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1992325658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PROFESSIONAL PARK DR SE STE 4",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240606663",
            "telephone_number": "540-951-4800",
            "fax_number": "540-951-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PROFESSIONAL PARK DR SE",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240606679",
            "telephone_number": "540-951-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERON",
        "first_name": "CRYSTALLYN",
        "middle_name": "ANNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-23",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904016198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Leigh Henderson, PT, ATC
• William T Hendricks Jr., MD
• Cara R Henry, LCSW
• Jolene Bryner Henshaw, M.D.
• Ashley Hernandez, LPC
• Emily Taylor Hiatt, DPT
• Daniel E Hickling, PT
• Maja Hickman
• Kenneth Todd Hicks, D.C.
• Sarah Elisabeth Hill, LCSW

• Clinical Social Worker in Blacksburg, VA
• Providers in Blacksburg, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.

Verify at the official NPI Registry.