MAXWELL CRYSTAL
NPI 1003771155
Social Worker - Clinical in Fairfax, VT

Active since December 22, 2025
43 COLONIAL RD UNIT 101, FAIRFAX, VT 05454(802) 777-0512 Get Directions Write a Review

NPPES record last updated: December 22, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Maxwell Crystal NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAXWELL CRYSTAL (NPI 1003771155) is an individual clinical provider in Fairfax, Vermont, licensed in Vermont (089.0135835) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1003771155
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMAXWELL CRYSTAL
Location Address43 COLONIAL RD UNIT 101Fairfax, VT 05454-9511
Mailing Address43 Colonial Rd Unit 101Fairfax, VT 05454-9511
Sole ProprietorYes
Enumeration DateDecember 22, 2025
NPPES CertifiedDecember 21, 2025
NPI 1003771155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in VT · 089.0135835
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
43 COLONIAL RD UNIT 101, Fairfax, VT 05454

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maxwell Crystal's NPI number?

The NPI number for Maxwell Crystal is 1003771155. It was assigned to this individual provider in the NPPES registry on December 22, 2025.

Where is Maxwell Crystal located?

Maxwell Crystal practices at 43 Colonial Rd Unit 101, Fairfax, VT 05454. The listed phone number is (802) 777-0512.

What is Maxwell Crystal's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Maxwell Crystal was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.