Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Crystal Ashlee Mothersill

Individual provider Clinical Social Worker · NPI 1629492145

Crystal Ashlee Mothersill is a Clinical Social Worker in Bronx, New York. Qualified in 2014, 12 years ago. Practices with Supportive Care Psychology of Ny PC, a 50-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

1185 Bryant Ave Ph
Bronx, NY 10459-2079
Phone: (917) 690-9307
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Clinical Social Worker Taxonomy 1041C0700X · Licence 089974 (NY)

Record details

NPI number1629492145
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 5, 2014
Last updated in NPPESSeptember 9, 2025
Certification dateSeptember 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Supportive Care Psychology Of Ny Pc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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