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CHRYSTAL DAWN LIEBOLD-JOHNSON LCSW
NPI 1578092979
Social Worker - Clinical in Philadelphia, PA

Active since June 08, 2017PECOS Enrolled
4529 SAINT DAVIDS ST UNIT 101, PHILADELPHIA, PA 19127(646) 957-4294 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 10, 2025, Mar 7, 2023, Jul 21, 2022 and 1 more (4 updates tracked since 2017).

About Chrystal Dawn Liebold-johnson Lcsw NPPES

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

CHRYSTAL DAWN LIEBOLD-JOHNSON LCSW (NPI 1578092979) is an individual clinical provider in Philadelphia, Pennsylvania, licensed in California (77002) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578092979
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCHRYSTAL DAWN LIEBOLD-JOHNSONCredential: LCSW
Location Address4529 SAINT DAVIDS ST UNIT 101Philadelphia, PA 19127-1216
Mailing Address4529 Saint Davids StPhiladelphia, PA 19127-1216 · (646) 957-4294
Phone(646) 957-4294
Sole ProprietorNo
Enumeration DateJune 8, 2017
Last NPPES UpdateFebruary 12, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2026
✔ NPI 1578092979 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 CA · 77002
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.
4529 SAINT DAVIDS ST UNIT 101, Philadelphia, PA 19127
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chrystal Dawn Liebold-johnson Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Chrystal Liebold-johnson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wagner Medical PC
56 mi
Clinical
1400 HOOPER AVE STE 2
Toms River, NJ 08753
  • Reassigned Medicare billing, New York enrollment
  • 62 clinicians in this Medicare group
NPI 1235951187 (844) 843-7279
Grow Healthcare Group PA
1,023 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, New York enrollment
  • 867 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711
Sondermind, P.A.
1,200 mi
Clinical
801 E DOUGLAS AVE FL 2
Wichita, KS 67202
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Sondermind PA
  • 70 clinicians in this Medicare group
NPI 1710647581 (844) 843-7279
Sondermind Provider Network LLC
1,575 mi
Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Florida enrollment
  • 238 clinicians in this Medicare group
NPI 1760854442 (844) 843-7279
Sondermind PC
2,497 mi
Clinical
6203 SAN IGNACIO AVE STE 110
San Jose, CA 95119
  • Reassigned Medicare billing, California enrollment
  • 81 clinicians in this Medicare group
NPI 1003646977 (844) 843-7279

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19127 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 $59.88 – $180.99
Typical copayment $0.00 (range $14.97 – $45.24)
Most-billed visit code NA
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

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 Chrystal Liebold-johnson's NPI number?

The NPI number for Chrystal Liebold-johnson is 1578092979. It was assigned to this individual provider in the NPPES registry on June 8, 2017.

Where is Chrystal Liebold-johnson located?

Chrystal Liebold-johnson practices at 4529 Saint Davids St Unit 101, Philadelphia, PA 19127. The listed phone number is (646) 957-4294.

What is Chrystal Liebold-johnson's specialty?

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

Is Chrystal Liebold-johnson enrolled in Medicare?

Yes. Chrystal Liebold-johnson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Chrystal Liebold-johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chrystal Liebold-johnson reassigns Medicare benefits to 5 organizations: Wagner Medical PC (Toms River, NJ), Grow Healthcare Group PA (Miami, FL), Sondermind, P.A. (Wichita, KS), Sondermind Provider Network LLC (Denver, CO) and Sondermind PC (San Jose, CA). Each 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 Chrystal Liebold-johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Chrystal Liebold-johnson accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Chrystal Liebold-johnson 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 Chrystal Liebold-johnson was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.