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MAKING A DIFFERENCE SUPPORT SERVICES, LLC
NPI 1013424225
Social Worker - Clinical in Fairbanks, AK

Active since January 09, 2018
1867 AIRPORT WAY STE 200, FAIRBANKS, AK 99701(907) 750-7169(907) 490-4469 Get Directions Write a Review

NPPES record last updated: April 4, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Making A Difference Support Services, Llc NPPES

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

MAKING A DIFFERENCE SUPPORT SERVICES, LLC (NPI 1013424225) is a healthcare organization registered as a clinical in Fairbanks, Alaska and active in the NPI registry since January 2018. The organization lists Crystal Devon Mccormick, Owner, as its authorized official.

NPPES Registry Identity

NPI1013424225
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMAKING A DIFFERENCE SUPPORT SERVICES, LLC
Location Address1867 AIRPORT WAY STE 200Fairbanks, AK 99701-4061
Mailing Address1867 Airport Way Ste 200Fairbanks, AK 99701-4061 · (907) 750-7169 · Fax (907) 490-4469
Phone(907) 750-7169
Fax(907) 490-4469
Organization SubpartNo
Authorized OfficialCrystal Devon MccormickOwner · (907) 750-7169
Enumeration DateJanuary 9, 2018
Last NPPES UpdateApril 4, 2018
✔ NPI 1013424225 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 AK · CSWS1053
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.
1867 AIRPORT WAY STE 200, Fairbanks, AK 99701
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Making A Difference Support Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Making A Difference Support Services, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Crystal Mccormick, LCSW
Clinical Social Worker
NPI 1790029114
1867 AIRPORT WAY SUITE 200
Fairbanks, AK 99701
(907) 590-2100
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Making A Difference Support Services, LLC's NPI number?

The NPI number for Making A Difference Support Services, LLC is 1013424225. It was assigned to this organization in the NPPES registry on January 9, 2018.

Where is Making A Difference Support Services, LLC located?

Making A Difference Support Services, LLC is located at 1867 Airport Way Ste 200, Fairbanks, AK 99701. The listed phone number is (907) 750-7169.

What is Making A Difference Support Services, LLC's specialty?

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

Is Making A Difference Support Services, LLC enrolled in Medicare?

Yes. Making A Difference Support Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Making A Difference Support Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Making A Difference Support Services, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Making A Difference Support Services, LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Making A Difference Support Services, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Making A Difference Support Services, LLC was last updated on April 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.