Sophia Elyse Creede, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

103437 Issued in TX

Practice address

1738 Sul Ross St
Houston, TX 77098-2812

Phone

(832) 865-4774

NPI assigned

Oct 26, 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

Enrolled in TX

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

Medicare enrollment (NPD)

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1891567442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1738 SUL ROSS ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770982812",
            "telephone_number": "832-865-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1738 SUL ROSS ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770982812",
            "telephone_number": "832-865-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREEDE",
        "first_name": "SOPHIA",
        "middle_name": "ELYSE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "103437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Creative Outlook Counseling & Consulting Services, PLLC
• Samuel Peter Creden, MD
• Credence Homecare LLC
• Credence Medical LLC
• Kevin Credille
• Creek Health Group LLC
• Jacqueline Creeks
• Creekview Adult Health and Activity Center Inc.
• Brittany Creel
• Barbara Ann Cregg, R.N.

• Clinical Social Worker in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.