KRYSTAL S ANGEVINE (LCSW) – Clinical Social Worker, NPI 1336164524

KRYSTAL S ANGEVINE (LCSW) is a healthcare provider. based in Pekin, Indiana. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 34001748A (IN). The NPI Number for KRYSTAL S ANGEVINE (LCSW) is 1336164524

Main info

Female
51 Years Of Experience
Accepts Medicare Assignment
Name
KRYSTAL S ANGEVINE (LCSW)
NPI
1336164524
Phone
(502) 641-5989
Address
9451 VOYLES RD
Enumeration Date
12 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5026415989
Graduation Year
1975 (51 years ago)
PAC ID
7719144062
Professional Enrollment ID
I20120130000395
Address ID
IN471502555NE2580XRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,711 CLINICAL SOCIAL WORKER in IN

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Provider Addresses for KRYSTAL S ANGEVINE (LCSW)

  • 9451, South Voyles Road, New Pekin, Washington County, Indiana, 47165, United States

    PEKIN, IN 471659606

    Phone: (502) 641-5989

    Type: Mailing

  • La Catrina Mexican Kitchen, 202, East Elm Street, New Albany, Floyd County, Indiana, 47150, United States

    NEW ALBANY, IN 47150

    Phone: (502) 641-5989

    Type: Location

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: 2012-01-30

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
I20120130000395IClinical Social WorkerINTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour8911$0
View full utilization report →

Insurance plans in this area (ZIP 47165)

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Reviews

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Frequently asked questions

What is the registry number for KRYSTAL S ANGEVINE (LCSW)?
The registry entry for KRYSTAL S ANGEVINE (LCSW) shows NPI 1336164524.
Does the public listing show KRYSTAL S ANGEVINE (LCSW) as active?
KRYSTAL S ANGEVINE (LCSW)'s NPI record reflects an active status in NPPES.
What does the directory say KRYSTAL S ANGEVINE (LCSW) does?
Insurance directories may phrase it differently, but here KRYSTAL S ANGEVINE (LCSW) maps to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Can patients visit KRYSTAL S ANGEVINE (LCSW) in Pekin, Indiana?
For routing, start with Pekin, Indiana for KRYSTAL S ANGEVINE (LCSW), then verify phone and hours locally.
Why is information missing for KRYSTAL S ANGEVINE (LCSW)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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