CRYSTAL WATERS LICENSED CLINICAL SOCIAL WORK, PLLC
NPI 1821599788
Community/Behavioral Health in Corning, NY

Q: What is Crystal Waters Licensed Clinical Social Work, PLLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since February 26, 2018

83 W PULTENEY ST, CORNING, NY 14830(607) 654-9872(607) 973-2727 Get Directions Write a Review

NPPES record last updated: February 26, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Crystal Waters Licensed Clinical Social Work, Pllc NPPES

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

CRYSTAL WATERS LICENSED CLINICAL SOCIAL WORK, PLLC (NPI 1821599788) is a healthcare organization registered as a community/behavioral health in Corning, New York and active in the NPI registry since February 2018. The organization lists Janet L Fabian, Owner, as its authorized official.

NPPES Registry Identity

NPI1821599788

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameCRYSTAL WATERS LICENSED CLINICAL SOCIAL WORK, PLLC

Location Address83 W PULTENEY STCorning, NY 14830-2213

Mailing Address62 South StAddison, NY 14801-1319 · (607) 654-9872

Phone(607) 654-9872

Fax(607) 973-2727

Organization SubpartNo

Authorized OfficialJanet L FabianOwner · (607) 654-9872

Enumeration DateFebruary 26, 2018

✔ NPI 1821599788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in NY · 080623

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

83 W PULTENEY ST, Corning, NY 14830

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crystal Waters Licensed Clinical Social Work, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Crystal Waters Licensed Clinical Social Work, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Janet Fabian, LCSW

Clinical Social Worker

NPI 1174766042

1019 E WATER ST
Elmira, NY 14901

(607) 733-5696

✔ PECOS✔ Accepts Medicare15 mi

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

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 Waters Licensed Clinical Social Work, PLLC's NPI number?

The NPI number for Crystal Waters Licensed Clinical Social Work, PLLC is 1821599788. It was assigned to this organization in the NPPES registry on February 26, 2018.

Where is Crystal Waters Licensed Clinical Social Work, PLLC located?

Crystal Waters Licensed Clinical Social Work, PLLC is located at 83 W Pulteney St, Corning, NY 14830. The listed phone number is (607) 654-9872.

What is Crystal Waters Licensed Clinical Social Work, PLLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Crystal Waters Licensed Clinical Social Work, PLLC enrolled in Medicare?

Yes. Crystal Waters Licensed Clinical Social Work, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Crystal Waters Licensed Clinical Social Work, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Crystal Waters Licensed Clinical Social Work, PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Crystal Waters Licensed Clinical Social Work, PLLC was last updated on February 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.