Creative Psychotherapy, PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C006227 Issued in NC

Legal business name

CREATIVE PSYCHOTHERAPY, PC

Practice address

185 Wind Chime CT
#104
Raleigh, NC 27615-6481

Phone

(919) 848-9715

Fax

(919) 848-9716

NPI assigned

Jan 4, 2011

Last updated

Jun 18, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Marybeth Auld, MSW,LCSW,NBCCHNPI 1942455068

Title

Owner/Clinician

Phone

(919) 848-9715

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Beth Auld, MSW, LCSW

  • Clinical Social Worker
  • Raleigh, NC
  • NPI 1942455068
  Authorized official Same address or phone

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403049600000",
    "number": "1396049482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 WIND CHIME CT",
            "address_2": "#104",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156481",
            "telephone_number": "919-848-9715",
            "fax_number": "919-848-9716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 WIND CHIME CT",
            "address_2": "#104",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156481",
            "telephone_number": "919-848-9715",
            "fax_number": "919-848-9716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE PSYCHOTHERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-04",
        "last_updated": "2014-06-18",
        "status": "A",
        "authorized_official_last_name": "AULD",
        "authorized_official_first_name": "MARYBETH",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "919-848-9715",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW,LCSW,NBCCH"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; 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.