MS. SALLY J CRUMLY LCSW
NPI 1053557587
Social Worker - Clinical in Winter Park, FL

Active since January 06, 2009Opted out of Medicare · through Apr 1, 2028
1954 HOWELL BRANCH RD, 106, WINTER PARK, FL 32792(407) 657-8555(407) 657-5774 Get Directions Write a Review

NPPES record last updated: January 6, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Sally J Crumly Lcsw NPPES

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

MS. SALLY J CRUMLY LCSW (NPI 1053557587) is an individual clinical provider in Winter Park, Florida, licensed in Florida (SW4672) and active in the NPI registry since January 2009. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1053557587
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. SALLY J CRUMLYCredential: LCSW
Location Address1954 HOWELL BRANCH RD, 106Winter Park, FL 32792-1041
Mailing Address1954 Howell Branch Rd, 106Winter Park, FL 32792-1041 · (407) 657-8555 · Fax (407) 657-5774
Fax(407) 657-5774
Sole ProprietorYes
Enumeration DateJanuary 6, 2009
NPI 1053557587 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 FL · SW4672
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.
1954 HOWELL BRANCH RD, Winter Park, FL 32792

Other Identifiers 1

Other10745887FL · Caqh

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Ms. Sally J Crumly Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Acupuncturist
1954 HOWELL BRANCH RD, SUITE 112
WINTER PARK, FL 32792
Acupuncturist
1954 HOWELL BRANCH RD, SUITE 112
WINTER PARK, FL 32792
Nurse Practitioner (Psychiatric/Mental Health)
1954 HOWELL BRANCH RD
WINTER PARK, FL 32792
Counselor (Mental Health)
1954 HOWELL BRANCH RD
WINTER PARK, FL 32792
Acupuncturist
1954 HOWELL BRANCH RD, SUITE 112
WINTER PARK, FL 32792

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 Sally Crumly's NPI number?

The NPI number for Sally Crumly is 1053557587. It was assigned to this individual provider in the NPPES registry on January 6, 2009.

Where is Sally Crumly located?

Sally Crumly practices at 1954 Howell Branch Rd 106, Winter Park, FL 32792. The listed phone number is (407) 657-8555.

What is Sally Crumly's specialty?

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

Is Sally Crumly enrolled in Medicare?

No. Sally Crumly has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Sally Crumly accept?

Health plans from Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Sally Crumly 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 Sally Crumly was last updated on January 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.