Active NPI
Stephanie Creer
- Clinical Social Worker
- San Francisco, CA
National Provider Identifier
1508504580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 120023
- Practice address
- 3150 18TH St
San Francisco, CA 94110-2074 - Phone
- (415) 562-4156
- NPI assigned
- May 20, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 120023 | CA | Primary |
Addresses
Primary practice location
3150 18TH St
San Francisco, CA 94110-2074
Mailing address
3150 18TH St Ste 350
San Francisco, CA 94110-2077
Phone (562) 355-0821
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120023 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kelli Clark Licensed Clinical Social Worker Professional Corporation | Clinical | Current | Accepting new patients |
Locations
3150 18th St
Ste 350
San Francisco, CA 94110
Phone (415) 562-4156
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- San Francisco, CA
- NPI 1376263319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708387200000",
"number": "1508504580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3150 18TH ST STE 350",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941102077",
"telephone_number": "562-355-0821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3150 18TH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941102074",
"telephone_number": "415-562-4156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREER",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-20",
"last_updated": "2024-02-20",
"certification_date": "2024-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "120023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.