Creekside Therapy Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3929 Issued in KS

Legal business name

CREEKSIDE THERAPY SERVICES

Practice address

1531 Willow Rd
Hutchinson, KS 67502-2613

Phone

(620) 200-0234

NPI assigned

Apr 21, 2017

Organization subpart

No

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

Authorized official

Name

Tamara S. Madden, LSCSWNPI 1073610929

Title

Sole MBR

Phone

(620) 200-0234

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tamara S Madden, LSCSW

  • Clinical Social Worker
  • Hutchinson, KS
  • NPI 1073610929
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494374400000",
    "number": "1477088938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 WILLOW RD",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675022613",
            "telephone_number": "620-200-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 WILLOW RD",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675022613",
            "telephone_number": "620-200-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEKSIDE THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-21",
        "last_updated": "2017-05-10",
        "status": "A",
        "authorized_official_last_name": "MADDEN",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "620-200-0234",
        "authorized_official_credential": "LSCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "3929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Lynn Corwin, LAC
• Emma R Cott, LCMFT
• County of Reno
• County of Reno
• Natalie M Craig, LMSW
• Shayla Chrisjean Cruz, MA CCC-SLP
• George Cullan, M.D.
• Jarrett Todd Cullens, D.C.
• Christopher John Culp, CRNA
• Jessica Michelle Curry, PA-C

• Clinical Social Worker in Hutchinson, KS
• Providers in Hutchinson, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; 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.