Maxwell Crystal, is a
Social Worker - Clinical based in Fairfax, Vermont. Maxwell Crystal is licensed to practice in Vermont (license number 089.0135835) and his current practice location is
43 Colonial Rd Unit 101, Fairfax, Vermont. He can be reached at his office (for appointments etc.) via phone at
(802) 777-0512.
NPI number for Maxwell Crystal is 1003771155 and his current mailing address is 43 Colonial Rd Unit 101, Fairfax, Vermont. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003771155.
Healthcare Provider's Profile
| Full Name | Maxwell Crystal |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 43 Colonial Rd Unit 101, Fairfax, Vermont |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003771155
- Provider Enumeration Date: 12/22/2025
- Last Update Date: 12/22/2025
Medical Identifiers
Medical identifiers for Maxwell Crystal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1003771155 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 089.0135835 (Vermont) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Maxwell Crystal is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Maxwell Crystal, 43 Colonial Rd Unit 101, Fairfax, VT 05454-9511 Ph: () - | Maxwell Crystal, 43 Colonial Rd Unit 101, Fairfax, VT 05454-9511 Ph: (802) 777-0512 |
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