Cultivating Growth Licensed Clinical Social Work, P.L.L.C.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

082085 Issued in NY

Legal business name

CULTIVATING GROWTH LICENSED CLINICAL SOCIAL WORK, P.L.L.C.

Practice address

301 S Geneva St
Ithaca, NY 14850-5445

Phone

(607) 280-0550

NPI assigned

Jun 19, 2017

Organization subpart

No

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

Authorized official

Name

Andre L Williams, LCSW

Title

Member

Phone

(607) 280-0550

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497830400000",
    "number": "1932639200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 722",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148510722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S GENEVA ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505445",
            "telephone_number": "607-280-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULTIVATING GROWTH LICENSED CLINICAL SOCIAL WORK, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-19",
        "last_updated": "2017-06-19",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "607-280-0550",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "082085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Chadab Crepet, MD
• Priscilla Cantine Crispell, NP
• Pamela Cronk, NP
• Jonathan Eric Cryer, MD
• Thomas Peter Cullen, LCSW-R
• Sally A Cunningham Manning, M.S.
• Rachel Cunningham, PA
• Alana Curran, OD
• Scott Curran, PA-C
• Christine Currier, RN

• Community/Behavioral Health Agency in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2017; 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.