Organization Active NPI

Creative Wellness Institute

  • Clinical Social Worker
  • Birmingham, AL
National Provider Identifier
1831573153
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1107C Issued in AL
Legal business name
CREATIVE WELLNESS INSTITUTE
Practice address
1116 23Rd St S
Birmingham, AL 35205-2410
Phone
(205) 933-5422
NPI assigned
Jul 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Authorized official

Name
Eve Laxer, LCSW
Title
Director
Phone
(205) 933-5422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 1107C AL Primary

Addresses

Primary practice location

1116 23Rd St S
Birmingham, AL 35205-2410

Mailing address

1116 23Rd St S
Birmingham, AL 35205-2410
Phone (205) 933-5422

National Provider Directory

National Provider Directory

Locations

1116 23rd St S
Birmingham, AL 35205
Phone (205) 677-5005

NPI Registry JSON

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1831573153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 23RD ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052410",
            "telephone_number": "205-933-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 23RD ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052410",
            "telephone_number": "205-933-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE WELLNESS INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "LAXER",
        "authorized_official_first_name": "EVE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "205-933-5422",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "1107C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.