Individual provider Active NPI

Helene Creasy, LCSW

  • Clinical Social Worker
  • Shenandoah, PA
National Provider Identifier
1932138690
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW-012792 Issued in PA
Practice address
21 N Main St
Shenandoah, PA 17976-1729
Phone
(570) 462-3025
Fax
(570) 462-3525
NPI assigned
Jul 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW-012792 PA Primary

Addresses

Primary practice location

21 N Main St
Shenandoah, PA 17976-1729

Mailing address

201 Swatara Rd
Shenandoah, PA 17976-1232
Phone (570) 462-3202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW-012792PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Solacium Holdings, LLC PastSince Apr 20, 2021 Accepting new patients
Lehigh Valley Hospital - Schuylkill Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932138690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SWATARA RD",
            "city": "SHENANDOAH",
            "state": "PA",
            "postal_code": "179761232",
            "telephone_number": "570-462-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 N MAIN ST",
            "city": "SHENANDOAH",
            "state": "PA",
            "postal_code": "179761729",
            "telephone_number": "570-462-3025",
            "fax_number": "570-462-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREASY",
        "first_name": "HELENE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW-012792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, PA

Sources for this page

Verify at the official NPI Registry.