Individual provider Active NPI

Carolyn Joy Creighton-Hein, LICSW

  • Clinical Social Worker
  • Vancouver, WA
National Provider Identifier
1033516398
Registry record updated Dec 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW 00005136 Issued in WA
Practice address
5400 Macarthur Blvd
Vancouver, WA 98661-7049
Phone
(360) 903-1413
Fax
(360) 835-5618
NPI assigned
Dec 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW 00005136 WA Primary

Addresses

Primary practice location

5400 Macarthur Blvd
Vancouver, WA 98661-7049

Mailing address

33113 SE 6TH St
Washougal, WA 98671-8915
Phone (360) 903-1413

Other names 1

  • Carolyn Joy Creighton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LW 00005136WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417478400000",
    "number": "1033516398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33113 SE 6TH ST",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986718915",
            "telephone_number": "360-903-1413",
            "fax_number": "360-835-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 MACARTHUR BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986617049",
            "telephone_number": "360-903-1413",
            "fax_number": "360-835-5618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREIGHTON-HEIN",
        "first_name": "CAROLYN",
        "middle_name": "JOY",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-02",
        "last_updated": "2014-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW 00005136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "CREIGHTON",
            "middle_name": "JOY",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; 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.