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CRYSTAL CHANCE LCSW
NPI 1104293711
Social Worker - Clinical in Fredericksburg, VA

Active since August 31, 2015PECOS EnrolledAccepts Medicare Assignment
1965 JEFFERSON DAVIS HWY, FREDERICKSBURG, VA 22401(540) 735-0650(540) 735-0567 Get Directions Write a Review

NPPES record last updated: September 6, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 6, 2018, Dec 21, 2016 (2 updates tracked since 2016).

About Crystal Chance Lcsw NPPES

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

CRYSTAL CHANCE LCSW (NPI 1104293711) is an individual clinical provider in Fredericksburg, Virginia, licensed in Virginia (0904009134) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1104293711
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCRYSTAL CHANCECredential: LCSW
Location Address1965 JEFFERSON DAVIS HWYFredericksburg, VA 22401
Mailing Address1965 Jefferson Davis HwyFredericksburg, VA 22401-6213 · (540) 735-0650 · Fax (540) 735-0567
Phone(540) 735-0650
Fax(540) 735-0567
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 31, 2015
Last NPPES UpdateSeptember 6, 20182 updates tracked since enumeration
✔ NPI 1104293711 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 VA · 0904009134
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.
1965 JEFFERSON DAVIS HWY, Fredericksburg, VA 22401
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Crystal Chance Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395028138
PECOS Enrollment IDI20170201002614
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.19 – $170.30
Typical copayment $0.00 (range $14.04 – $42.57)
Most-billed visit code NA
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

CARRIE A SCHAEFER NP
Nurse Practitioner (Family)
1965 JEFFERSON DAVIS HWY
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 735-0560
NICOLE PERNOD-LIBOY PSY.D.
Psychologist (Clinical)
1965 JEFFERSON DAVIS HWY
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 735-0560
DR. LAWRENCE BORDEN LEE JR. MD
Psychiatry & Neurology (Psychiatry)
1965 JEFFERSON DAVIS HWY, SUITE 100
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 370-4468
DR. JOHN D. MANDEVILLE DO
Family Medicine
1965 JEFFERSON DAVIS HWY
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 735-0560
360 HEALTH AND REHAB
Chiropractor (Sports Physician)
1965 JEFFERSON DAVIS HWY, STE 200B
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 373-1303
DR. HEATHER RENE O'QUINN D.C.
Chiropractor
1965 JEFFERSON DAVIS HWY, SUITE 200B
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 373-1303
DR. SON T DUONG D.D.S.
Dentist
1965 JEFFERSON DAVIS HWY, SUITE 100
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 735-0560
DR. SARAH-ANN ENG D.C.
Chiropractor
1965 JEFFERSON DAVIS HWY, SUITE 2008
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 373-1303

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 Crystal Chance's NPI number?

The NPI number for Crystal Chance is 1104293711. It was assigned to this individual provider in the NPPES registry on August 31, 2015.

Where is Crystal Chance located?

Crystal Chance practices at 1965 Jefferson Davis Hwy, Fredericksburg, VA 22401. The listed phone number is (540) 735-0650.

What is Crystal Chance's specialty?

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

Is Crystal Chance enrolled in Medicare?

Yes. Crystal Chance is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Crystal Chance was last updated on September 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.