Kelsey Creelman, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SWB-2023-0128 Issued in NM

Practice address

1740 Grande Blvd SE Ste D
Rio Rancho, NM 87124-0300

Phone

(906) 369-3197

NPI assigned

Sep 4, 2023

Sex

Female

Sole proprietor

Yes

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.

• Masn, LLC / New Light Counseling LLC

  • Clinical Social Worker
  • Rio Rancho, NM
  • NPI 1881322154
  NPD

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693785600000",
    "number": "1831975044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3612 MARY ELLEN ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871114804",
            "telephone_number": "906-369-3197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 GRANDE BLVD SE STE D",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871240300",
            "telephone_number": "906-369-3197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREELMAN",
        "first_name": "KELSEY",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "SWB-2023-0128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cravens Mental Health Services
• Angelica Cravens
• Sandra Crawford
• Trevor Crean, D.O
• Creative Therapy Services, LLC
• Ashley Crespin
• John Francis Crisler, D.D.S.
• Jennifer Crispo, LMFT
• Shirley Mae Crotwell, PHD
• Amanda Renee Crouch, NPI

• Clinical Social Worker in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.