MRS. CRYSTAL NICOLE PETTREY LGSW - NPI 1215824990 - Social Worker in Bridgeport, WV

Q: What is Crystal Pettrey's NPI number?

The NPI number for Crystal Pettrey is 1215824990. It was assigned to this individual provider in the NPPES registry on June 23, 2025.

Q: What is Crystal Pettrey's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Crystal Pettrey was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

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About Mrs. Crystal Nicole Pettrey Lgsw NPPES

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

MRS. CRYSTAL NICOLE PETTREY LGSW (NPI 1215824990) is an individual social worker in Bridgeport, West Virginia, licensed in West Virginia (SW062517538) and active in the NPI registry since June 2025. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1215824990

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMRS. CRYSTAL NICOLE PETTREYCredential: LGSW

Location Address120 PROFESSIONAL PL STE 101Bridgeport, WV 26330-4599

Mailing Address271 Leah DrPrinceton, WV 24739-9150 · (304) 952-2693

Phone(304) 513-3495

Sole ProprietorNo

Enumeration DateJune 23, 2025

Last NPPES UpdateApril 15, 20262 updates tracked since enumeration

NPPES CertifiedApril 15, 2026

✔ NPI 1215824990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in WV · SW062517538

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Also ListedCounselorTaxonomy 101Y00000X · License SW062517538 (WV)

120 PROFESSIONAL PL STE 101, Bridgeport, WV 26330

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Secondary Practice Locations 2

Location 1152 Misty LnPrinceton, WV 24740-6462 · Phone (304) 223-5200

Location 2221 George StBeckley, WV 25801-2609 · Phone (681) 238-6634

Other Providers at the Same Location NPPES 20

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

ASHLEY ERIN FIZER MSW, LGSW

Social Worker (Clinical)