Creative Resources Consultation Center, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CREATIVE RESOURCES CONSULTATION CENTER, INC.

Practice address

174 Jericho Tpke
Floral Park, NY 11001-2024

Phone

(516) 993-0200

Fax

(516) 783-7957

NPI assigned

Jul 17, 2023

Organization subpart

No

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

Authorized official

Name

Mr. James J. Nuss, L.C.S.W.NPI 1821132325

Title

President and C.E.O.

Phone

(516) 993-0200

Specialties & licenses 2

Addresses

Other names 1

• Creative Resources Consultation Center Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James J. Nuss, L.C.S.W.

  • Clinical Social Worker
  • Floral Park, NY
  • NPI 1821132325
  NPD Authorized official
• Linda Michael, L.C.S.W.

  • Clinical Social Worker
  • Floral Park, NY
  • NPI 1376665984
  NPD (past)
• Nancy O'Sullivan, L.C.S.W.

  • Clinical Social Worker
  • Floral Park, NY
  • NPI 1669690285
  NPD (past)

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1316626260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 JERICHO TPKE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110012024",
            "telephone_number": "516-993-0200",
            "fax_number": "516-783-7957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 JERICHO TPKE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110012024",
            "telephone_number": "516-993-0200",
            "fax_number": "516-783-7957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE RESOURCES CONSULTATION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "NUSS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT AND C.E.O.",
        "authorized_official_telephone_number": "516-993-0200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creative Resources Consultation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Social Worker in Floral Park, NY
• Providers in Floral Park, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.