Creative Pathways to Wholeness, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW00003838 Issued in MO

Legal business name

CREATIVE PATHWAYS TO WHOLENESS, LLC

Practice address

7750 Clayton Rd
Suite 308 a
Saint Louis, MO 63117-1353

Phone

(314) 644-4422

NPI assigned

Feb 5, 2008

Organization subpart

No

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

Authorized official

Name

Mary N St. Clair, LCSW, ATR-BC

Title

Psychotherapist

Phone

(314) 644-4422

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Creative Paths Other name

Locations

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240272000000",
    "number": "1437337029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7750 CLAYTON RD",
            "address_2": "SUITE 308 A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171353",
            "telephone_number": "314-644-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 CLAYTON RD",
            "address_2": "SUITE 308 A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171353",
            "telephone_number": "314-644-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE PATHWAYS TO WHOLENESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2009-04-21",
        "status": "A",
        "authorized_official_last_name": "ST. CLAIR",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "314-644-4422",
        "authorized_official_credential": "LCSW, ATR-BC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "SW00003838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "490614104",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "209651",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creative Paths",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jesse Ian Crayle, MD
• Cheryl Diane Crayton, LCSW
• Matthew Aaron Creacy, LPC
• Creath Counseling
• Creative Counseling 4 Kids LLC
• Creative Wellness, LLC
• Rachel Nicole Crebessa, MD
• Charles A Crecelius, MD
• Curt R Crecelius, CRNA
• Krystal Lynn Crecelius, NP

• Clinical Social Worker in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; 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.