Creekstone Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS23771 Issued in CA

Legal business name

CREEKSTONE COUNSELING, LLC

Practice address

201 San Antonio Cir
Suite 212
Mountain View, CA 94040-1254

Phone

(408) 722-0522

Fax

(888) 469-5269

NPI assigned

Feb 18, 2010

Last updated

Feb 18, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Annette F Gilbertson, LCSWNPI 1992039317

Title

Executive Director

Phone

(408) 722-0522

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Annette Faye Gilbertson, LCSW

  • Clinical Social Worker
  • Redmond, OR
  • NPI 1992039317
  NPD (past) Authorized official

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266451200000",
    "number": "1720300759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 W TAYLOR ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951261848",
            "telephone_number": "408-722-0522",
            "fax_number": "888-469-5279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SAN ANTONIO CIR",
            "address_2": "SUITE 212",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940401254",
            "telephone_number": "408-722-0522",
            "fax_number": "888-469-5269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEKSTONE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2010-02-18",
        "status": "A",
        "authorized_official_last_name": "GILBERTSON",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "408-722-0522",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS23771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kristen Crawford
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• Crossover Health Medical Group
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• Clinical Social Worker in Mountain View, CA
• Providers in Mountain View, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; 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.