CRYSTAL MOBLEY (LCSW) – Clinical Social Worker, NPI 1568612414

CRYSTAL MOBLEY (LCSW) is a healthcare provider. based in Winchester, Kentucky. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 254424 (KY). The NPI Number for CRYSTAL MOBLEY (LCSW) is 1568612414

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
CRYSTAL MOBLEY (LCSW)
NPI
1568612414
Phone
(859) 953-1006
Address
3313 LEXINGTON RD
Enumeration Date
29 September 2008
Last Update Date
27 December 2025

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
8599861415
Graduation Year
2011 (15 years ago)
PAC ID
5496188021
Group Practice PAC ID
8224946561
Professional Enrollment ID
I20191211003344
Address ID
KY404031742BE305XXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:17State licenses:1Digital endpointsOther names

1,195 CLINICAL SOCIAL WORKER in KY

Provider Addresses for CRYSTAL MOBLEY (LCSW)

  • 3313 LEXINGTON RD

    WINCHESTER, KY 403919524

    Phone: (859) 953-1006

    Fax: (859) 762-1695

    Type: Mailing

  • PO BOX 790

    ASHLAND, KY 411050790

    Phone: (606) 329-8588

    Fax: (606) 329-8195

    Type: Mailing

  • 209 DAVIS RD

    MT STERLING, KY 403539549

    Phone: (606) 329-8588

    Fax: (606) 329-8195

    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: 2019-12-11

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
I20191211003344IClinical Social WorkerKYTBD

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 40391)

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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: 8224946561View full group profile
NameSpecialtyState
Clinical Social WorkerOH
Nurse PractitionerKY
-KY
Nurse PractitionerKY
Clinical Social WorkerKY
Nurse PractitionerKY
Nurse PractitionerKY
-KY
Nurse PractitionerKY
Nurse PractitionerTN

Reviews

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Frequently asked questions

Can I verify CRYSTAL MOBLEY (LCSW) with an NPI only?
You can start verification with NPI 1568612414 for CRYSTAL MOBLEY (LCSW), then check state licensing separately.
Can I rely on CRYSTAL MOBLEY (LCSW) being an active provider?
As of the registry snapshot, CRYSTAL MOBLEY (LCSW) is marked active.
What taxonomy line describes CRYSTAL MOBLEY (LCSW)?
For research purposes, treat CRYSTAL MOBLEY (LCSW) as Clinical Social Worker in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect CRYSTAL MOBLEY (LCSW) on a map?
Expect Winchester, Kentucky as a primary anchor for CRYSTAL MOBLEY (LCSW) unless the record lists multiple sites.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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