Individual provider Active NPI

Olivia Creary, L.C.S.W.

  • Clinical Social Worker
  • Pompano Beach, FL
National Provider Identifier
1669670683
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 6450 Issued in FL
Practice address
Broward Community and Family Health Centers, Inc.
168 North Powerline Road
Pompano Beach, FL 33021-3205
Phone
(954) 967-0028
Fax
(954) 272-0294
NPI assigned
Jul 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW 6450 FL Primary

Addresses

Primary practice location

Broward Community and Family Health Centers, Inc.
168 North Powerline Road
Pompano Beach, FL 33021-3205

Mailing address

Broward Community and Family Health Centers Inc
168 North Powerline Road
Pompano Beach, FL 33021-3205

Other identifiers 1

IdentifierTypeStateIssuer
SW 6450OtherFLSTATE OF FLORIDA DEPARTME

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 6450FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1669670683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BROWARD COMMUNITY AND FAMILY HEALTH CENTERS INC",
            "address_2": "168 NORTH POWERLINE ROAD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330213205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BROWARD COMMUNITY AND FAMILY HEALTH CENTERS, INC.",
            "address_2": "168 NORTH POWERLINE ROAD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330213205",
            "telephone_number": "954-967-0028",
            "fax_number": "954-272-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREARY",
        "first_name": "OLIVIA",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 6450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA DEPARTME",
            "identifier": "SW 6450",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.