Creative Collaborations Counseling and Consulting

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CREATIVE COLLABORATIONS COUNSELING AND CONSULTING

Practice address

4179 S Riverboat Rd Ste 224
Taylorsville, UT 84123-2986

Phone

(801) 554-0663

NPI assigned

Aug 17, 2023

Organization subpart

No

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

Authorized official

Name

Shannalee Otanez, LCSWNPI 1700255031

Title

Owner

Phone

(801) 554-0663

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.

• Shannalee Otanez, LCSW

  • Clinical Social Worker
  • Salt Lake City, UT
  • NPI 1700255031
  NPD Authorized official

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1427831809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4179 S RIVERBOAT RD STE 224",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841232986",
            "telephone_number": "801-554-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4179 S RIVERBOAT RD STE 224",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841232986",
            "telephone_number": "801-554-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE COLLABORATIONS COUNSELING AND CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "OTANEZ",
        "authorized_official_first_name": "SHANNALEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-554-0663",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sam Cress
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• Clinical Social Worker in Taylorsville, UT
• Providers in Taylorsville, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.