CRYSTAL ELLISON (NPI# 1982088605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982088605 |
| Entity Type | Individual |
| Full Name | CRYSTAL ELLISON |
| Credential | LCSW |
| Practice Address |
218 Broadway Blvd Se Albuquerque NM 87102-3425 |
| Practice Telephone | (505) 242-6988 |
| Practice Fax Number | 5052426972 |
| Mailing Telephone | 5052426988 |
| Mailing Fax Number | 5052426972 |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2019-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C-10657 | NM | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 58373381 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8745 County Road 9 S, Alamosa, CO 811019610 | 7195893671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689000473 | Crystal Ellison | Registered Nurse | 2700 Snelling Ave N, Suite 400, Roseville, MN 55113-1719 | 2013-09-24 |
| Street Address |
218 BROADWAY BLVD SE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87102-3425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083635981 | Sigifredo Saenz Jr. | Social Worker | 218 Broadway Blvd Se, Albuquerque, NM 87102-3425 | 2006-07-23 |
| 1174120687 | Mallory Hemerlein | Social Worker | 218 Broadway Blvd Se, Albuquerque, NM 87102-3425 | 2020-10-07 |
| 1023636891 | Juan Edward Sanchez | Marriage & Family Therapist | 218 Broadway Blvd Se, Albuquerque, NM 87102-3425 | 2020-07-08 |
| 1376180794 | Helen Candelaria | Social Worker | 218 Broadway Blvd Se, Albuquerque, NM 87102-3425 | 2019-12-04 |
| 1982171427 | Ana Sanchez-riddle | Counselor | 218 Broadway Blvd Se, Albuquerque, NM 87102-3425 | 2018-11-01 |
| 1447779467 | Heather Rachel Singer | Counselor | 218 Broadway Blvd Se, Albuquerque, NM 87102-3425 | 2017-09-11 |
| 1205287539 | Rebeca Gurrola | Counselor | 218 Broadway Blvd Se, Albuquerque, NM 87102-3425 | 2016-06-28 |
| 1376915637 | Vicki J Ruiz | Counselor | 218 Broadway Blvd Se, Albuquerque, NM 87102-3425 | 2015-10-27 |
| 1205233830 | Hector Alvarez | Counselor | 218 Broadway Blvd Se, Albuquerque, NM 87102-3425 | 2014-11-25 |
| 1104242932 | Michelle Morgan | Counselor | 218 Broadway Blvd Se, Albuquerque, NM 87102-3425 | 2014-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454937 | Julie Wood | Acupuncturist | 1600 Luna Circle Nw, Albuquerque, NM 87102 | 2020-10-16 |
| 1770121410 | Emily Perez | Counselor | 218 Broadway Ne, Albuquerque, NM 87102 | 2019-12-12 |
| 1417503392 | Tess Holtry | Behavior Technician | 1424 Walter St Nw, Albuquerque, NM 87102 | 2019-08-15 |
| 1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
| 1730744103 | Faith Petra Maxwell | Behavior Technician | 900 Arno St, Albuquerque, NM 87102 | 2019-05-01 |
| 1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
| 1093276651 | Tina Marie Trujillo | Behavioral Analyst | Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-27 |
| 1861950370 | Meghan Montoya | Student in an Organized Health Care Education/Training Program | 801 Camino De Salud, Albuquerque, NM 87102 | 2019-03-05 |
| 1174099329 | Dilshani N Tyson | Counselor | 600 1st Street Nw Ste 200, Albuquerque, NM 87102 | 2018-10-15 |
| 1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
| Find all providers in zip 87102 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870346 | Erin Lilly Lcsw LLC | Social Worker | 3321b Candelaria Rd Ne Ste 406, Albuquerque, NM 87107-1908 | 2020-10-30 |
| 1659971919 | Erica Denise Ortiz | Social Worker | 6212 Casa Blanca Dr Nw, Albuquerque, NM 87120 | 2020-10-27 |
| 1316545478 | Amy Flinko | Social Worker | 3604 Britt St Ne, Albuquerque, NM 87111-4983 | 2020-10-12 |
| 1558976597 | Skt Counseling LLC | Social Worker | 4620 Hannett Ave Ne, Albuquerque, NM 87110-5014 | 2020-09-15 |
| 1881209948 | Carolyn Marie Peck | Social Worker | 231 Carlisle Blvd Ne, Albuquerque, NM 87106-1348 | 2020-09-14 |
| 1619587839 | Aureaariel Cardiel | Social Worker | 116 Industrial Ave Ne, Albuquerque, NM 87107-2229 | 2020-08-03 |
| 1376153593 | Janette Dejesus | Social Worker | 116 Industrial Ave Ne Ste B, Albuquerque, NM 87107-2229 | 2020-08-03 |
| 1235748096 | Gabrielle Monique Maldonado | Social Worker | 2535 Mervosh Ave Sw, Albuquerque, NM 87105-4821 | 2020-07-28 |
| 1770191033 | Rosemary Laurel Bauman | Social Worker | 1515 Los Jardines Pl Nw, Albuquerque, NM 87104-2317 | 2020-07-22 |
| 1164047841 | Jonathan Wilks, Lcsw, LLC | Social Worker | 4300 Woodrose Rd Nw, Albuquerque, NM 87114-5578 | 2020-06-09 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87102 |
Please comment or provide details below to improve the information on CRYSTAL ELLISON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.