CRYSTALLYN ANNE HERON (LCSW) – Clinical Social Worker, NPI 1992325658

CRYSTALLYN ANNE HERON (LCSW) is a healthcare provider. based in Blacksburg, Virginia. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 0904016198 (VA). The NPI Number for CRYSTALLYN ANNE HERON (LCSW) is 1992325658

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
CRYSTALLYN ANNE HERON (LCSW)
NPI
1992325658
Phone
(540) 951-4800
Address
200 PROFESSIONAL PARK DR SE STE 4
Enumeration Date
23 April 2020
Last Update Date
3 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5409514800
Graduation Year
2012 (14 years ago)
PAC ID
6507217296
Group Practice PAC ID
3072554393
Professional Enrollment ID
I20240106000881
Address ID
VA240606663BL200XXSEXX501
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

2,023 CLINICAL SOCIAL WORKER in VA

Provider Addresses for CRYSTALLYN ANNE HERON (LCSW)

  • 200 PROFESSIONAL PARK DR SE STE 4

    BLACKSBURG, VA 240606663

    Phone: (540) 951-4800

    Fax: (540) 951-3081

    Type: Mailing

  • 200 PROFESSIONAL PARK DR SE

    BLACKSBURG, VA 240606679

    Phone: (540) 951-4800

    Type: Location

  • 700 UNIVERSITY CITY BLVD

    BLACKSBURG, VA 240602706

    Phone: (540) 961-8300

    Fax: (540) 961-8465

    Type: Mailing

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: 2024-01-06

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
I20240106000881IClinical Social WorkerVATBD

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 24060)

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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: 3072554393View full group profile
NameSpecialtyState
Mental Health CounselorVA
Marriage And Family TherapistVA

Reviews

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Frequently asked questions

What is CRYSTALLYN ANNE HERON (LCSW)'s NPI number?
CRYSTALLYN ANNE HERON (LCSW)'s NPI is 1992325658 — the number used across U.S. healthcare to identify this provider.
Is CRYSTALLYN ANNE HERON (LCSW) shown as active in public data?
Registry records indicate CRYSTALLYN ANNE HERON (LCSW) maintains an active NPI.
What clinical focus is listed for CRYSTALLYN ANNE HERON (LCSW)?
At a glance, CRYSTALLYN ANNE HERON (LCSW) is tied to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is CRYSTALLYN ANNE HERON (LCSW) located near Blacksburg?
CRYSTALLYN ANNE HERON (LCSW) currently maps to Blacksburg, Virginia in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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