Active NPI
Jeffrey Francis Creed, LCSW
- Clinical Social Worker
- Manorville, NY
National Provider Identifier
1255989042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 093213
- Practice address
- 3 Moran CT
Manorville, NY 11949-2554 - Phone
- (631) 566-8176
- NPI assigned
- Aug 27, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 093213 | NY | Primary |
Addresses
Primary practice location
3 Moran CT
Manorville, NY 11949-2554
Mailing address
3 Moran CT
Manorville, NY 11949-2554
Phone (631) 566-8176
Other practice location 1
7555 Main Rd
Mattituck, NY 11952-1516
Phone (631) 298-8642
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220725001340 | NY | Practitioner - Clinical Social Worker | 9638550536 | Practice locations: Riverhead, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
21 W 2ND St
Suite 14
Riverhead, NY 11901-2752
Phone (631) 566-8176
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653004800000",
"number": "1255989042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 MORAN CT",
"city": "MANORVILLE",
"state": "NY",
"postal_code": "119492554",
"telephone_number": "631-566-8176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 MORAN CT",
"city": "MANORVILLE",
"state": "NY",
"postal_code": "119492554",
"telephone_number": "631-566-8176"
}
],
"practiceLocations": [
{
"address_1": "7555 Main Rd",
"address_purpose": "LOCATION",
"city": "Mattituck",
"state": "NY",
"postal_code": "119521516",
"country_code": "US",
"telephone_number": "631-298-8642",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CREED",
"first_name": "JEFFREY",
"middle_name": "FRANCIS",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-27",
"last_updated": "2022-05-20",
"certification_date": "2022-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "093213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manorville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.