NPIMap

Organization Active NPI

Creative Success LLC

  • Clinical Social Worker
  • West Roxbury, MA
National Provider Identifier
1255669412
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
101278 Issued in MA
Legal business name
CREATIVE SUCCESS LLC
Practice address
154 Temple St
West Roxbury, MA 02132-3807
Phone
(617) 323-1442
Fax
(617) 323-1963
NPI assigned
Nov 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2009

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

Authorized official

Name
Ms. Gail E McMeekin, LICSW
Title
Owner
Phone
(617) 323-1442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 101278 MA Primary

Addresses

Primary practice location

154 Temple St
West Roxbury, MA 02132-3807

Mailing address

154 Temple St
West Roxbury, MA 02132-3807
Phone (617) 323-1442

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259539200000",
    "number": "1255669412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 TEMPLE ST",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021323807",
            "telephone_number": "617-323-1442",
            "fax_number": "617-323-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 TEMPLE ST",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021323807",
            "telephone_number": "617-323-1442",
            "fax_number": "617-323-1963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE SUCCESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-30",
        "last_updated": "2009-11-30",
        "status": "A",
        "authorized_official_last_name": "MCMEEKIN",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-323-1442",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "101278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Roxbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.