Creative Concepts Therapeutic Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P004034 Issued in NC

Legal business name

CREATIVE CONCEPTS THERAPEUTIC SERVICES

Doing business as

Aeshia Jackson

Practice address

100 Pear St
Aberdeen, NC 28315-2924

Phone

(910) 528-6172

Fax

(910) 944-2417

NPI assigned

Oct 29, 2009

Last updated

Oct 29, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Aeshia L. Jackson, MSWNPI 1467613570

Title

President

Phone

(910) 528-6172

Specialties & licenses 1

Addresses

Other names 1

• Aeshia Jackson Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aeshia L Jackson, MSW, PLCSW

  • Clinical Social Worker
  • Aberdeen, NC
  • NPI 1467613570
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256774400000",
    "number": "1003142761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3594",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283743594",
            "telephone_number": "910-528-6172",
            "fax_number": "910-944-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PEAR ST",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "283152924",
            "telephone_number": "910-528-6172",
            "fax_number": "910-944-2417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE CONCEPTS THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-29",
        "last_updated": "2009-10-29",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "AESHIA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-528-6172",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P004034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aeshia Jackson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Community Alternative Housing
• Community Helps Network Aberdeen
• Emily Cornel, MS, RDN, LDN, CNSC
• Cottage of Hope LLC (Cottage of Hope and Wellness)
• Brandon P Couch
• Creative Concepts Therapeutic Services
• Gary Paul Dackor, DC
• Buxton Russell Dawson
• Sheryl D Dean
• Karen S Demo, LPC

• Clinical Social Worker in Aberdeen, NC
• Providers in Aberdeen, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.