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

NPI Status: Active since February 26, 2018

Contact Information

83 W PULTENEY ST
CORNING, NY
ZIP 14830
Phone: (607) 654-9872
Fax: (607) 973-2727

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  • Organization
  • Community/Behavioral Health

About CRYSTAL WATERS LICENSED CLINICAL SOCIAL WORK, PLLC

This page provides the complete NPI Profile along with additional information for Crystal Waters Licensed Clinical Social Work, Pllc, a provider established in Corning, New York operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1821599788 assigned on February 2018. The practitioner's primary taxonomy code is 251S00000X with license number 080623 (NY). The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Janet L Fabian Lcswr (Owner)

NPI
1821599788
Provider Name
CRYSTAL WATERS LICENSED CLINICAL SOCIAL WORK, PLLC
Entity Type
Organization
Location Address
83 W PULTENEY ST CORNING, NY 14830
Location Phone
(607) 654-9872
Location Fax
(607) 973-2727
Mailing Address
62 SOUTH ST ADDISON, NY 14801
Mailing Phone
(607) 654-9872
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-26-2018
Last Update Date
02-26-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License No.
080623
License State
NY
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JANET L FABIAN LCSWR

Authorized Official Title
OWNER
Authorized Official Phone
(607) 654-9872

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1821599788, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
2
Doubled → 4
Pos 4
1
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
9
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
7
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 5 → 10 → 1 9 → 18 → 9 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 4 + 1 + 1 + 0 + 9 + 1 + 8 + 7 + 1 + 6 + 24 = 72

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1821599788.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Massage Therapist
83 W PULTENEY ST
CORNING, NY 14830

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821599788, enumerated as an "organization" on February 26, 2018.

The provider is located at 83 W PULTENEY ST CORNING, NY 14830 and the phone number is (607) 654-9872.

Community/Behavioral Health with taxonomy code 251S00000X.