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KRYSTAL AWILDA FERMIN LCSW
NPI 1821714569
Social Worker - Clinical in Providence, RI

Active since October 14, 2022PECOS Enrolled
180 CORLISS ST STE E1, PROVIDENCE, RI 02904(401) 793-2928 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 5, 2025, Apr 1, 2025, Oct 14, 2022 (3 updates tracked since 2022).

About Krystal Awilda Fermin Lcsw NPPES

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

KRYSTAL AWILDA FERMIN LCSW (NPI 1821714569) is an individual clinical provider in Providence, Rhode Island, licensed in Rhode Island (ISW04423) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Cranston.

NPPES Registry Identity

NPI1821714569
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKRYSTAL AWILDA FERMINCredential: LCSW
Location Address180 CORLISS ST STE E1Providence, RI 02904-2602
Mailing Address22 Milo StProvidence, RI 02909-5950 · (401) 654-7197
Phone(401) 793-2928
Sole ProprietorNo
Enumeration DateOctober 14, 2022
Last NPPES UpdateDecember 5, 20253 updates tracked since enumeration
NPPES CertifiedDecember 5, 2025
✔ NPI 1821714569 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 RI · ISW04423
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.
180 CORLISS ST STE E1, Providence, RI 02904
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Secondary Practice Location 1

Location 11150 Reservoir AveCranston, RI 02920-6068 · Phone (401) 259-0340

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Krystal Awilda Fermin 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 Reassignment

Medicare enrollment records show Krystal Fermin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Miriam Hospital
Same address
Medical Specialty
180 CORLISS ST STE E1
Providence, RI 02904
  • Reassigned Medicare billing, Rhode Island enrollment
  • 45 clinicians in this Medicare group
NPI 1275810434 (401) 793-7401

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 02904 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 $58.57 – $177.03
Typical copayment $0.00 (range $14.64 – $44.25)
Most-billed visit code NA
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
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.

Other Providers at the Same Location NPPES 4

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

LOUISE KNAPP LICSW
Social Worker (Clinical)
180 CORLISS ST STE E1
PROVIDENCE, RI 02904
Providence County (401) 793-3582
JOSEPH METMOWLEE GARLAND MD
Internal Medicine (Infectious Disease)
180 CORLISS ST STE E1
PROVIDENCE, RI 02904
Providence County (401) 793-7245
THE MIRIAM HOSPITAL
Clinic/Center (Medical Specialty)
180 CORLISS ST STE E1
PROVIDENCE, RI 02904
Providence County (401) 793-7401
CECELIA ODILE HAFFNER JATTA RN, BS
Nurse Practitioner (Adult Health)
180 CORLISS ST STE E1
PROVIDENCE, RI 02904
Providence County (401) 793-2928

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 Krystal Fermin's NPI number?

The NPI number for Krystal Fermin is 1821714569. It was assigned to this individual provider in the NPPES registry on October 14, 2022.

Where is Krystal Fermin located?

Krystal Fermin practices at 180 Corliss St Ste E1, Providence, RI 02904. The listed phone number is (401) 793-2928.

What is Krystal Fermin's specialty?

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

Is Krystal Fermin enrolled in Medicare?

Yes. Krystal Fermin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Krystal Fermin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krystal Fermin reassigns Medicare benefits to The Miriam Hospital (Providence, RI). The 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 Krystal Fermin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Krystal Fermin accept?

Health plans from Harvard Pilgrim Health Care list Krystal Fermin 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 Krystal Fermin was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.