Rock Creek Counseling and Wellness Center

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW15852 Issued in PA

Legal business name

ROCK CREEK COUNSELING AND WELLNESS CENTER

Practice address

390 Park Ave
Meadville, PA 16335-1243

Phone

(724) 866-2907

NPI assigned

May 1, 2012

Organization subpart

No

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

Authorized official

Name

Kimberly Ann Doyle, MSSA, LCSW

Title

Owner

Phone

(724) 866-2907

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1255699989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 PARK AVE",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163351243",
            "telephone_number": "724-866-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 PARK AVE",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163351243",
            "telephone_number": "724-866-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCK CREEK COUNSELING AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-01",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "DOYLE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-866-2907",
        "authorized_official_credential": "MSSA, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW15852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerry Griffith Risco, CRNP
• Rite Aid of Pennsylvania LLC
• Robert a. Santora M.D.P.C
• Stacy Rocco, BCBA
• Karen A Roche
• Alassia Rodgers
• Laura Rogers-Wilson, RPH
• Kasey Roser
• Christian Ivan Rosero Llerena, MD
• Stuart Philip Rothman, LCSW, BCD

• Clinical Social Worker in Meadville, PA
• Providers in Meadville, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.