Lisa B Creef LCSW, PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C006138 Issued in NC

Legal business name

LISA B CREEF LCSW, PC

Practice address

1241 B North Road St
Elizabeth City, NC 27909-3335

Phone

(252) 335-5346

Fax

(252) 335-5365

NPI assigned

Sep 29, 2008

Last updated

Feb 17, 2009By 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. Lisa B Creef, LCSWNPI 1598788747

Title

President

Phone

(252) 335-5346

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC

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, and the practitioner matching its NPPES authorized official.

• Lisa Butler Creef, L.C.S.W., P.C.

  • Clinical Social Worker
  • Elizabeth City, NC
  • NPI 1598788747
  Medicare reassignment NPD Authorized official
• Elizabeth Marie Thomas, MA, LCMHC

  • Professional Counselor
  • Elizabeth City, NC
  • NPI 1104056753
  NPD (past)

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234828800000",
    "number": "1427208362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "SOUTH MILLS",
            "state": "NC",
            "postal_code": "279760188",
            "telephone_number": "252-335-5346",
            "fax_number": "252-335-5365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 B NORTH ROAD ST",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093335",
            "telephone_number": "252-335-5346",
            "fax_number": "252-335-5365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA B CREEF LCSW, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-29",
        "last_updated": "2009-02-17",
        "status": "A",
        "authorized_official_last_name": "CREEF",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-335-5346",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904001497",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6007190",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "332387",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909725",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenton L Lilyquist, OD
• Lincare Inc.
• Julie A Lindley, PSY.D.
• Joanna Spence Lindquist-Lane, FNP
• Brigid M Linnan, MD
• Baogang Liu, MD
• Living Hope Agency LLC
• Julia Kim Lloyd, M.S. CCC-SLP
• Sachin Logani, MD
• Casey Long

• Clinical Social Worker in Elizabeth City, NC
• Providers in Elizabeth City, 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 Feb 17, 2009; 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.