Organization Active NPI

Creative Therapy Services

  • Clinical Social Worker
  • Blackwood, NJ
National Provider Identifier
1992026405
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC0523188 Issued in NJ
Legal business name
CREATIVE THERAPY SERVICES
Doing business as
Creative Therapy Services
Practice address
1546 Blackwood Clementon Rd
Blackwood, NJ 08012-4626
Phone
(856) 232-4770
NPI assigned
Jun 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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

Authorized official

Name
Michelle Robin Carlamere, LCSWNPI 1932420924
Title
Therapist
Phone
(856) 232-4770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 44SC0523188 NJ Primary

Addresses

Primary practice location

1546 Blackwood Clementon Rd
Blackwood, NJ 08012-4626

Mailing address

1546 Blackwood Clementon Rd
PO Box 173
Blackwood, NJ 08012-4626
Phone (856) 232-4770

Other names 1

  • Creative Therapy Services Doing business as

National Provider Directory

National Provider Directory

Locations

1546 Blackwood Clementon Rd
Blackwood, NJ 08012
Phone (856) 232-4770

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407283200000",
    "number": "1992026405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1546 BLACKWOOD CLEMENTON RD",
            "address_2": "PO BOX 173",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080124626",
            "telephone_number": "856-232-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1546 BLACKWOOD CLEMENTON RD",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080124626",
            "telephone_number": "856-232-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-18",
        "last_updated": "2014-08-06",
        "status": "A",
        "authorized_official_last_name": "CARLAMERE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "ROBIN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "856-232-4770",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC0523188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creative Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blackwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; 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.