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

Maxwell Crystal

Individual provider Clinical Social Worker · NPI 1003771155

Maxwell Crystal is a Clinical Social Worker in Fairfax, Vermont. Practices as a sole proprietor. Licensed in Vermont.

Licensed in
VT
In the registry since
2025

Practice location Address checks out

43 Colonial Rd Unit 101
Fairfax, VT 05454-9511
Phone: (802) 777-0512
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 089.0135835 (VT)

Record details

NPI number1003771155
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 22, 2025
Last updated in NPPESDecember 22, 2025
Certification dateDecember 21, 2025
Mailing address43 Colonial Rd Unit 101, Fairfax, VT 05454-9511

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