Crystal Waters Licensed Clinical Social Work, PLLC
NPI 1821599788 · Community/Behavioral Health Agency · Corning, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Crystal Waters Licensed Clinical Social Work, PLLC is a Community/Behavioral Health Agency organization in Corning, NY (NPI 1821599788).
Provider details
- NPI number
- 1821599788
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Janet Fabian, Owner(607) 654-9872
- License
- 080623 (NY)
Specialties & taxonomies
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-02-26
- Last updated
- 2018-02-26
Frequently asked questions
- What is Crystal Waters Licensed Clinical Social Work, PLLC's NPI number?
- Crystal Waters Licensed Clinical Social Work, PLLC's National Provider Identifier (NPI) is 1821599788, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Crystal Waters Licensed Clinical Social Work, PLLC?
- Crystal Waters Licensed Clinical Social Work, PLLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Crystal Waters Licensed Clinical Social Work, PLLC located?
- Crystal Waters Licensed Clinical Social Work, PLLC's practice location on file with NPPES is 83 W Pulteney St, Corning, NY 14830-2213.
- What is Crystal Waters Licensed Clinical Social Work, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Crystal Waters Licensed Clinical Social Work, PLLC is (607) 654-9872.
- Does Crystal Waters Licensed Clinical Social Work, PLLC accept Medicare?
- Crystal Waters Licensed Clinical Social Work, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Crystal Waters Licensed Clinical Social Work, PLLC?
- The authorized official listed on Crystal Waters Licensed Clinical Social Work, PLLC's NPPES record is Janet Fabian, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Crystal Waters Licensed Clinical Social Work, PLLC's NPI active?
- Yes — Crystal Waters Licensed Clinical Social Work, PLLC's NPI (1821599788) is active in the NPPES registry as of the last update on 2018-02-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.