CRYSTAL BROOKE EDWARDS
NPI 1760989123
Social Worker - Clinical in Modesto, CA

Q: What is Crystal Edwards's NPI number?

The NPI number for Crystal Edwards is 1760989123. It was assigned to this individual provider in the NPPES registry on April 11, 2018. The provider is also known as Crystal Brooke Fuller.

Q: What is Crystal Edwards's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Crystal Edwards was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since April 11, 2018

2000 W BRIGGSMORE AVE STE I, MODESTO, CA 95350(209) 526-1476(209) 526-0908 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 22, 2023, Apr 11, 2018 (2 updates tracked since 2018).

On this page

About Crystal Brooke Edwards NPPES

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

CRYSTAL BROOKE EDWARDS (NPI 1760989123) is an individual clinical provider in Modesto, California, licensed in California (137008) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1760989123

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameCRYSTAL BROOKE EDWARDS

Location Address2000 W BRIGGSMORE AVE STE IModesto, CA 95350-3839

Mailing Address2000 W Briggsmore Ave Ste IModesto, CA 95350-3839 · (209) 526-1476 · Fax (209) 526-0908

Phone(209) 526-1476

Fax(209) 526-0908

Sole ProprietorNo

Enumeration DateApril 11, 2018

Last NPPES UpdateFebruary 19, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 19, 2026

✔ NPI 1760989123 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 · 137008

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.

2000 W BRIGGSMORE AVE STE I, Modesto, CA 95350

Open in Google Maps ↗

Other Names 1

Former Name (1)Crystal Brooke Fuller

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.

JOSEPH ANTHONY KING CATC II

Counselor (Addiction (Substance Use Disorder))