NPI 1003771155

Maxwell Crystal

Practitioner Clinical Social Worker Fairfax, VT

Practice location

Address: 43 Colonial Rd Unit 101, Fairfax, VT 05454-9511
Phone: (802) 777-0512

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 089.0135835 (VT)

Other Social Worker providers in Vermont →

Registry record

NPI: 1003771155
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Dec 2025
Record last updated: 22 Dec 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.