Stephanie Amanda Creitz

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC06180200 Issued in NJ

Practice address

31 W Kennedy Dr
Clementon, NJ 08021-2768

Phone

(856) 739-3807

NPI assigned

Sep 9, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1598646325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 W KENNEDY DR",
            "city": "CLEMENTON",
            "state": "NJ",
            "postal_code": "080212768",
            "telephone_number": "856-739-3807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 W KENNEDY DR",
            "city": "CLEMENTON",
            "state": "NJ",
            "postal_code": "080212768",
            "telephone_number": "856-739-3807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREITZ",
        "first_name": "STEPHANIE",
        "middle_name": "AMANDA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00370600",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06180200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clementon Elementary School
• Clementon Family Dentistry P C
• Clementon School District
• Marissa Leigh Coffield
• Skylar Cooper
• Timothy F Crowley, DC
• Crystal Health Care Services Group Home
• Teresa Dang, RPH
• Dental of Clementon
• Benjamin James Diyenno, LAC

• Clinical Social Worker in Clementon, NJ
• Providers in Clementon, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.