Center for Creative Colutions

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS17752 Issued in CA

Legal business name

CENTER FOR CREATIVE COLUTIONS

Practice address

10641 Aristocrat CT
Santee, CA 92071-1216

Phone

(619) 549-2963

Fax

(951) 245-0309

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Mr. David Squire, LCSWNPI 1538150420

Title

Social Worker

Phone

(619) 334-0005

Specialties & licenses 1

Addresses

Tax ID family

Center for Creative Colutions2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Center for Creative Solutions, Inc.

  • Home Health Agency
  • Santee, CA
  • NPI 1780722330
  NPD tax ID

Practitioners 1

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

• David Squire, LCSQ

  • Clinical Social Worker
  • Santee, CA
  • NPI 1538150420
  NPD (past) Authorized official

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386788461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10641 ARISTOCRAT CT",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920711216",
            "telephone_number": "619-549-2963",
            "fax_number": "951-245-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10641 ARISTOCRAT CT",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920711216",
            "telephone_number": "619-549-2963",
            "fax_number": "951-245-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR CREATIVE COLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SQUIRE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "619-334-0005",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS17752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nubia Aurora Casillas Castillo
• Anna Castillo
• Julius Nicholas Castillo
• Juan Castro
• Andrea Azeneth Cazares
• Center for Creative Solutions, Inc.
• Centro de Salud de la Comunidad de San Ysidro, Inc.
• Mahipal S. Chaudhri, M.D.
• Yashwant S Chaudhri, M.D.
• Christopher Cory Cheek, IDC

• Clinical Social Worker in Santee, CA
• Providers in Santee, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.