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

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: August 02, 2026.

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
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Other Providers at the Same Location NPPES

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

MRS. KAYLEEN ELIZABETH BUTLER LMT
Massage Therapist
83 W PULTENEY ST
CORNING, NY 14830
Steuben County (607) 301-0985

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.

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.