Organization Active NPI

Kreating Intentional Minds

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1629769765
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KREATING INTENTIONAL MINDS
Practice address
6218 Georgia Ave NW Ste 1615
Washington, DC 20011-5125
Phone
(240) 639-2475
NPI assigned
May 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Authorized official

Name
Kia Oliver, LICSW
Title
Owner
Phone
(240) 639-2475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

6218 Georgia Ave NW Ste 1615
Washington, DC 20011-5125

Mailing address

6218 Georgia Ave NW Ste 1615
Washington, DC 20011-5125

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1629769765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6218 GEORGIA AVE NW STE 1615",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200115125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6218 GEORGIA AVE NW STE 1615",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200115125",
            "telephone_number": "240-639-2475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KREATING INTENTIONAL MINDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-18",
        "certification_date": "2022-09-24",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "KIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-639-2475",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.