Judith M Creecy, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

014657 Issued in CT

Practice address

1218 Woods Rd
Germantown, NY 12526-5626

Phone

(480) 235-7934

Fax

(602) 685-6001

NPI assigned

May 11, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Ms. Judith M Guida Former name

Medicare fee-for-service enrollment

Enrolled in NY, NJ, CT3 enrollments

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 3

Specialty

Clinical Social Worker

Education

Other, 1983

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Doppler Psychology Services PC

  • Community/Behavioral Health Agency
  • East Elmhurst, NY
  • NPI 1720773914

  NJ

  Medicare reassignment NPD
• BMSC Az LLC

  • Clinical Social Worker
  • Plainfield, IL
  • NPI 1497201875

  NY

  Medicare reassignment NPD
• Family & Children's Service of the Capital Region Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Albany, NY
  • NPI 1093851925
  Medicare reassignment
• Sailor Health Medical of New Jersey, P.C.

  • Psychologist
  • Miami, FL
  • NPI 1578421798

  NJ

  Medicare reassignment
• Sailor Health Medical PA

  • Psychologist
  • Coral Gables, FL
  • NPI 1841012960

  CT

  Medicare reassignment
• Supportive Care Psychology of Ny PC

  • Clinical Psychologist
  • Howell, NJ
  • NPI 1104315068

  NY

  Medicare reassignment
• Total Life NJ P.a.

  dba Total Life

  • Cognitive & Behavioral Psychologist
  • New Brunswick, NJ
  • NPI 1104659614

  NY

  Medicare reassignment
• Delaware Valley Hospital, Inc

  • Critical Access Hospital
  • Walton, NY
  • NPI 1417940719
  NPD

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

{
    "created_epoch": "1242000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1609000298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WESTOVER DR # 13619",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273308941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 WOODS RD",
            "city": "GERMANTOWN",
            "state": "NY",
            "postal_code": "125265626",
            "telephone_number": "480-235-7934",
            "fax_number": "602-685-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREECY",
        "first_name": "JUDITH",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-11",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-0985",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082170",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05995700",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "014657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDITH",
            "last_name": "GUIDA",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dana Balzer
• Kristin Susanne Beattie
• Sandra J Bohnsack, RN
• Talia Brooks-Salzman, L.AC, MSOM
• Susanne Stephanie Cianfoni, R.N.
• Amy Jo Davison, D.O.
• Shirley T. Dorion, M.S.ED., CCC/SLP
• Germantown Central School District
• Dorothy Marie Glover, R.N.
• Lauren Stephanie Gordon, MSW, LSCW

• Clinical Social Worker in Germantown, NY
• Providers in Germantown, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.