Active NPI
Kristin Louise Creamer-Williamson, LMSW
- Social Worker
- Riverhead, NY
National Provider Identifier
1538524095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 095864-1
- Practice address
- 1380 Roanoke Ave
2ND Floor
Riverhead, NY 11901-2098 - Phone
- (631) 369-4418
- NPI assigned
- Dec 28, 2015
- Last updated
- Dec 28, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 095864-1 | NY | Primary |
Addresses
Primary practice location
1380 Roanoke Ave
2ND Floor
Riverhead, NY 11901-2098
Mailing address
87 Pine Edge Dr
East Moriches, NY 11940-1557
Phone (631) 909-3212
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 |
|---|---|---|---|
| 095864-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451260800000",
"number": "1538524095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87 PINE EDGE DR",
"city": "EAST MORICHES",
"state": "NY",
"postal_code": "119401557",
"telephone_number": "631-909-3212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1380 ROANOKE AVE",
"address_2": "2ND FLOOR",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119012098",
"telephone_number": "631-369-4418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREAMER-WILLIAMSON",
"first_name": "KRISTIN",
"middle_name": "LOUISE",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-28",
"last_updated": "2015-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "095864-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverhead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.