Haley Ellyce Creekmore, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10096-C Issued in AR

Practice address

2402 Wildwood Ave Ste 115
Sherwood, AR 72120-6014

Phone

(501) 983-2199

NPI assigned

Sep 19, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Momentum Therapeutic Services

  • Professional Counselor
  • Sherwood, AR
  • NPI 1215664099
  NPD
• New Beginings Behavioral Health

  • Community/Behavioral Health Agency
  • Little Rock, AR
  • NPI 1699215392
  NPD (past)

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1730515974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 WILDWOOD AVE STE 115",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721206014",
            "telephone_number": "501-983-2199",
            "fax_number": "501-506-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 WILDWOOD AVE STE 115",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721206014",
            "telephone_number": "501-983-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREEKMORE",
        "first_name": "HALEY",
        "middle_name": "ELLYCE",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-19",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "10096-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlie Rena Connor, PT, DPT
• Alexa Nicole Corley, OT
• Dennis Kenneth Counts, PHD
• Jaci Elizabeth Covington, OTR/L
• Jeanteria Brenae Craig
• Micaela M Cruz
• Ansley Cumberland
• Deasia Arie Cunningham
• Hailee Lynn Cunningham
• Byron Duke Curtner, M.D.

• Clinical Social Worker in Sherwood, AR
• Providers in Sherwood, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.