Creative Play Therapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CREATIVE PLAY THERAPY LLC

Practice address

2713 S 74TH St
Fort Smith, AR 72903-5170

Phone

(479) 831-5100

NPI assigned

Dec 17, 2018

Organization subpart

No

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

Authorized official

Name

Janet E Richardson, LCSW

Title

Therapist

Phone

(479) 226-6364

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545004800000",
    "number": "1396216321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 JUNIPER CT",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729032232",
            "telephone_number": "479-226-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2713 S 74TH ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035170",
            "telephone_number": "479-831-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE PLAY THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "479-226-6364",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700211018",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Lee Craig, D.C.
• William Cravey
• Crawford-Sebastian Community Development
• Dana Crawford, BS, CIT, RDS
• Sarah Crawford
• Scott Cressey
• Walter Cresson, LPN
• Ethan Crews, QBHP
• Bethany Crippen
• Charles Brant Crisp, DDS

• Clinical Social Worker in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.