CRYSTAL SUE EDWARDS (LMSW) – Clinical Social Worker, NPI 1356907422

CRYSTAL SUE EDWARDS (LMSW) is a healthcare provider. based in Wasilla, Alaska. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LMSW. They hold a License No. 151869 (AK). The NPI Number for CRYSTAL SUE EDWARDS (LMSW) is 1356907422

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
CRYSTAL SUE EDWARDS (LMSW)
NPI
1356907422
Phone
Not provided
Address
133 E SWANSON AVE
Enumeration Date
14 May 2019
Last Update Date
22 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9074954100
Graduation Year
2015 (11 years ago)
PAC ID
7315319464
Group Practice PAC ID
3173415635
Professional Enrollment ID
I20230217002489
Address ID
AK996880519WI24091RDXX500

Contacts

Other Endpoint
https://consumerdirectak.com/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:7State licenses:1Other namesUpdated within 12 months

212 CLINICAL SOCIAL WORKER in AK

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Provider Addresses for CRYSTAL SUE EDWARDS (LMSW)

  • 133, East Swanson Avenue, Wasilla, Matanuska-Susitna, Alaska, 99654, United States

    WASILLA, AK 996547025

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-02-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230217002489IClinical Social WorkerAKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99654)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173415635View full group profile
NameSpecialtyState
Nurse PractitionerAK
-AK
Internal MedicineAZ
Physician AssistantAK
Physician AssistantAK
Physician AssistantAK
Nurse PractitionerAK
Family PracticeAK
Physician AssistantAK

Reviews

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Frequently asked questions

What is the standard ID for CRYSTAL SUE EDWARDS (LMSW) in the U.S.?
In the U.S., CRYSTAL SUE EDWARDS (LMSW) is identified by NPI 1356907422.
Does the public listing show CRYSTAL SUE EDWARDS (LMSW) as active?
CRYSTAL SUE EDWARDS (LMSW)'s NPI record reflects an active status in NPPES.
What services align with CRYSTAL SUE EDWARDS (LMSW)'s listing?
CRYSTAL SUE EDWARDS (LMSW)'s public classification highlights Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What city is tied to CRYSTAL SUE EDWARDS (LMSW)?
The directory associates CRYSTAL SUE EDWARDS (LMSW) with Wasilla, Alaska. Check all listed addresses for suites or satellite offices.
Why is information missing for CRYSTAL SUE EDWARDS (LMSW)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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