Kelly Ferris Creech, LCSW, LISW-S, LICDC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

I0009973-SUPV Issued in OH

Practice address

20545 Center Ridge Rd Ste 448
Rocky River, OH 44116-3423

Phone

(440) 356-0083

NPI assigned

May 15, 2006

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

Other names 1

• Miss Kelly Jean Ferris Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kelly Ferris, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rocky River, OH
  • NPI 1720631534
  Authorized official Same address or phone
• Fit Mind Cleveland

  • Clinical Social Worker
  • Rocky River, OH
  • NPI 1427364371
  NPD
• New Perspectives Center for Counseling & Therapy

  • Mental Health Counselor
  • Salem, OR
  • NPI 1063462281
  NPD (past)
• Optum Behavioral Care of Colorado, P.C.

  • Clinical Social Worker
  • De Pere, WI
  • NPI 1396622494
  NPD (past)

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697328000000",
    "number": "1700837564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19885 DETROIT RD # 190",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441161815",
            "telephone_number": "033-208-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20545 CENTER RIDGE RD STE 448",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163423",
            "telephone_number": "440-356-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREECH",
        "first_name": "KELLY",
        "middle_name": "FERRIS",
        "name_prefix": "Mrs.",
        "credential": "LCSW, LISW-S, LICDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2023-10-15",
        "certification_date": "2023-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L3534",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I0009973-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "FERRIS",
            "middle_name": "JEAN",
            "prefix": "MISS",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heidi Cowling
• Alexander Brian Craig, DPM
• Grace Chuang Craig, DPM
• Heather Ann Craig, DPM
• Creative Soul-Utions Counseling
• Meghan M Crute, M.D.
• CSL Harbor Court, LLC
• Cummings Woodall Opticians Inc.
• Cunningham Counseling Associates L.L.C.
• Kelly E Cunningham, LISW

• Social Worker in Rocky River, OH
• Providers in Rocky River, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.