Creative Healing Psychotherapy LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

CREATIVE HEALING PSYCHOTHERAPY LLC

Practice address

1035 Hooper Ave Ste 2B
Toms River, NJ 08753-8355

Phone

(917) 731-0647

NPI assigned

Nov 21, 2022

Organization subpart

No

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

Authorized official

Name

Angelica Adina Rauer, MSWNPI 1700553922

Title

LCSW

Phone

(917) 731-0647

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

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

• Angelica Adina Rauer, LCSW

  • Social Worker
  • Toms River, NJ
  • NPI 1700553922
  Medicare reassignment NPD Authorized official
• Eliezer Vieira Defranca, LCSW, LCADC

  • Clinical Social Worker
  • Toms River, NJ
  • NPI 1295170975
  NPD (past)

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1346959186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 HOOPER AVE STE 2B",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087538355",
            "telephone_number": "917-731-0647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 HOOPER AVE STE 2B",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087538355",
            "telephone_number": "917-731-0647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE HEALING PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-21",
        "last_updated": "2023-01-23",
        "certification_date": "2022-12-29",
        "status": "A",
        "authorized_official_last_name": "RAUER",
        "authorized_official_first_name": "ANGELICA",
        "authorized_official_middle_name": "ADINA",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "917-731-0647",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett R Crane Jr., MD
• Sandra Marie Crawford, MA CCC-SLP
• Jonathan Creadle
• Joseph Creadle, REGISTERED NURSE
• Creative Care Therapy Services LLC
• Alexa Joan Crimeni, PA
• William T. Crimmins, RPH
• John W Crisanti Jr., MD
• Kathleen M Croll
• Kimberly Croson

• Social Worker in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.