Individual provider Active NPI

Lisa Butler Creef, L.C.S.W., P.C.

  • Clinical Social Worker
  • Elizabeth City, NC
National Provider Identifier
1598788747
Registry record updated Feb 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C006138 Issued in NC
Practice address
1241 B. North Road St.
Elizabeth City, NC 27909-3335
Phone
(252) 335-5346
Fax
(252) 335-5365
NPI assigned
Jul 26, 2006
Last updated
Feb 13, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C006138 NC Primary
Clinical Social Worker 1041C0700X 0904001497 VA

Addresses

Primary practice location

1241 B. North Road St.
Elizabeth City, NC 27909-3335

Mailing address

PO Box 188
South Mills, NC 27976-0188
Phone (252) 335-5346

Other identifiers 1

IdentifierTypeStateIssuer
6007190MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090213000464 NC Practitioner - Clinical Social Worker 1456364835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1241 N Rd St
A
Elizabeth City, NC 27909-3335
Phone (252) 335-5346

1241 N Rd St a
Elizabeth City, NC 27909-3335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C006138NCMDClinical Social Worker
0904001497VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa B Creef LCSW, PC Clinical CurrentSince Jan 1, 2009 Accepting new patients
Christine F. Gilchrist LCSW, PC PastSince Jul 14, 1998 Accepting new patients

Locations

1241 N Road St
#B
Elizabeth City, NC 27909
Phone (252) 334-9800

1241 N Road St
#A
Elizabeth Cty, NC 27909
Phone (252) 335-5346

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234483200000",
    "number": "1598788747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "SOUTH MILLS",
            "state": "NC",
            "postal_code": "279760188",
            "telephone_number": "252-335-5346",
            "fax_number": "252-335-5365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 B. NORTH ROAD ST.",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093335",
            "telephone_number": "252-335-5346",
            "fax_number": "252-335-5365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREEF",
        "first_name": "LISA",
        "middle_name": "BUTLER",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W., P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2009-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006138",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904001497",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6007190",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

Verify at the official NPI Registry.