Individual provider Active NPI

Stephanie Ann Creighton

  • Clinical Social Worker
  • Snow Hill, MD
National Provider Identifier
1831439215
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
18671 Issued in MD
Practice address
6040 Public Landing Rd
Snow Hill, MD 21863
Phone
(410) 632-1100
Fax
(410) 632-5682
NPI assigned
Feb 22, 2013
Last updated
Feb 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 18671 MD
Clinical Social Worker 1041C0700X 18671 MD Primary

Addresses

Primary practice location

6040 Public Landing Rd
Snow Hill, MD 21863

Mailing address

6040 Public Landing Rd
Snow Hill, MD 21863-2453
Phone (410) 632-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171127000827 MD Practitioner - Clinical Social Worker 2668739889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9730 Healthway Dr
Berlin, MD 21811-1154
Phone (410) 629-0164

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18671MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Worcester County Health Department CurrentSince Oct 4, 2017 Accepting new patients
Worcester County Health Department CurrentSince Oct 4, 2017 Accepting new patients

Locations

9730 Healthway Dr
Berlin, MD 21811
Phone (410) 629-0164

11827 Ocean Gtwy
Ocean City, MD 21842
Phone (410) 213-0202

6040 Public Landing Rd
Snow Hill, MD 21863
Phone (410) 629-0041

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1361491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1831439215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 PUBLIC LANDING RD",
            "city": "SNOW HILL",
            "state": "MD",
            "postal_code": "218632453",
            "telephone_number": "410-632-1100",
            "fax_number": "410-632-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 PUBLIC LANDING RD",
            "city": "SNOW HILL",
            "state": "MD",
            "postal_code": "21863",
            "telephone_number": "410-632-1100",
            "fax_number": "410-632-5682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREIGHTON",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-22",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "18671",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "18671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snow Hill, MD

Sources for this page

Verify at the official NPI Registry.