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

Mrs. Crystal Nicole Pettrey, LGSW

Individual provider Counselor · NPI 1215824990

Mrs. Crystal Nicole Pettrey, LGSW is a Counselor in Bridgeport, West Virginia. Works from 3 locations. Licensed in West Virginia.

Licensed in
WV
In the registry since
2025
Specialties on file
2

Practice location Address checks out

120 Professional Pl Ste 101
Bridgeport, WV 26330-4599
Phone: (304) 513-3495
Show map & directions

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

Additional practice locations (2)

  • 221 George St, Beckley, WV 25801-2609 — (681) 238-6634
  • 152 Misty Ln, Princeton, WV 24740-6462 — (304) 223-5200

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence SW062517538 (WV)
Counselor Taxonomy 101Y00000X · Licence SW062517538 (WV)

Record details

NPI number1215824990
Entity typeIndividual (Type 1)
GenderFemale
Credentials LGSW
Sole proprietorNo
NPI enumeratedJune 23, 2025
Last updated in NPPESApril 15, 2026
Certification dateApril 15, 2026

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