Creative Therapy Associates, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW5509 Issued in FL

Legal business name

CREATIVE THERAPY ASSOCIATES, LLC

Practice address

600 S Main Ave
Minneola, FL 34715-9578

Phone

(407) 399-8855

Fax

(321) 248-0120

NPI assigned

Aug 4, 2008

Organization subpart

No

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

Authorized official

Name

Christine Tuzzo Harris, MSW, LCSWNPI 1750507976

Title

Owner/President

Phone

(407) 376-9277

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christine Tuzzo Harris, MSW, LCSW

  • Clinical Social Worker
  • Minneola, FL
  • NPI 1750507976
  Medicare reassignment Care Compare group NPD Authorized official
• Lauren Michele Onufrak

  • Mental Health Counselor
  • Minneola, FL
  • NPI 1134759434
  Medicare reassignment Care Compare group NPD
• Ashley Beasley Allison, IMH

  • Mental Health Counselor
  • Minneola, FL
  • NPI 1306672399
  NPD
• Benita Mosca, RCSWI

  • Social Worker
  • Minneola, FL
  • NPI 1366086910
  NPD

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681862400000",
    "number": "1821254368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 EVEREST STREET",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "34711",
            "telephone_number": "407-376-9277",
            "fax_number": "321-248-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S MAIN AVE",
            "city": "MINNEOLA",
            "state": "FL",
            "postal_code": "347159578",
            "telephone_number": "407-399-8855",
            "fax_number": "321-248-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE THERAPY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-04",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "TUZZO",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "407-376-9277",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7529",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW5509",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000341400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "762109400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "768765600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Suzanne Corzine, PTA
• Katherine Dankelman
• Anelyn Solomon Datuin
• Karen De Campos Pacheco Barcelos
• Emily Amanda De Jesus Orama
• Barbara De Jesus-Rivera, M.S., CCC-SLP

• Clinical Social Worker in Minneola, FL
• Providers in Minneola, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.