Creative Consulting Services, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC000835400 Issued in NJ

Legal business name

CREATIVE CONSULTING SERVICES, INC.

Practice address

67 Crystal St
Avenel, NJ 07001-1125

Phone

(732) 409-3003

Fax

(732) 409-3013

NPI assigned

Nov 5, 2006

Last updated

Aug 22, 2020By 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

Mr. Edwin Melendez, LCSW

Title

President

Phone

(732) 409-3003

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1162684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124107545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 CRYSTAL ST",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011125",
            "telephone_number": "732-409-3003",
            "fax_number": "732-409-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 CRYSTAL ST",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011125",
            "telephone_number": "732-409-3003",
            "fax_number": "732-409-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE CONSULTING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MELENDEZ",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-409-3003",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC000835400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64664756",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018694",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Avenel, NJ
• Providers in Avenel, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.