- Practice location
- 43 Colonial RD Unit 101, Fairfax, VT 05454-9511
- Phone
- 802-777-0512
- Fax
- —
- Last updated
- December 22, 2025
Maxwell Crystal is a Social Worker, Clinical based in Fairfax, VT. Maxwell Crystal practices in Fairfax, VT. The NPI Number for Maxwell Crystal is 1003771155 and holds a License No. 089.0135835 (VT). The current practice location address for Maxwell Crystal is 43 Colonial RD Unit 101, Fairfax, VT 05454-9511 and can be reached out via phone at 802-777-0512.
Provider Profile Details
- NPI Number
- 1003771155
- Provider Name
- Maxwell Crystal
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 43 Colonial RD Unit 101, Fairfax, VT 05454-9511
- Phone Number
- 802-777-0512
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 22, 2025
- Last Update Date
- December 22, 2025
- Certification Date
- December 21, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 43 Colonial RD Unit 101
Fairfax, VT 05454-9511 - City
- Fairfax
- State
- Vermont
- Zip
- 05454-9511
- Phone Number
- 802-777-0512
Provider Business Mailing Address Details
- Address
- 43 Colonial RD Unit 101
Fairfax, VT 05454-9511 - City
- Fairfax
- State
- VT
- Zip
- 05454-9511
License Information
- License Number
- 089.0135835
- License State
- VT
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Maxwell Crystal?
The NPI number of Maxwell Crystal is 1003771155. It was assigned on December 22, 2025 and is currently active in the NPPES registry.
What is the specialty of Maxwell Crystal?
Maxwell Crystal is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in VT under license number 089.0135835.
Where does Maxwell Crystal practice?
The practice location is 43 Colonial RD Unit 101, Fairfax, VT 05454-9511. The office can be reached at 802-777-0512 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003771155 directly on the NPPES registry website.