CREEKSIDE COUNSELING, LLC (NPI# 1417599564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417599564 |
| Entity Type | Organization |
| Organization Name | CREEKSIDE COUNSELING, LLC |
| Practice Address |
7 Saint Andrews Ct Brunswick GA 31520-6764 |
| Mailing Address |
Po Box 2480 Darien GA 31305-2480 |
| Practice Telephone | 9122670774 |
| Mailing Telephone | 9125061587 |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2019-10-10 |
| Authorized Official Name | MRS. MONICA GIBSON RICH (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Telephone | 9125061587 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346672078 | Creekside Counseling, LLC | Counselor | 211 N Iowa St, Gunnison, CO 81230-2219 | 2013-08-05 |
| Street Address |
7 SAINT ANDREWS CT |
| City | BRUNSWICK |
| State | GA |
| Zip Code | 31520-6764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639162654 | Miguel J Martelli | Psychiatry & Neurology | 7 Saint Andrews Ct, Brunswick, GA 31520-6764 | 2005-08-24 |
| 1962886671 | Cara Hansen | Social Worker | 7 Saint Andrews Ct, Brunswick, GA 31520 | 2015-07-13 |
| 1376804062 | Maria Myslewicz-weese, Lcsw, LLC | Community/Behavioral Health | 7 Saint Andrews Ct, Brunswick, GA 31520-6764 | 2012-05-30 |
| 1588930119 | Maria Myslewicz-weese | Social Worker | 7 Saint Andrews Ct, Brunswick, GA 31520-6764 | 2012-03-28 |
| 1437309861 | Sherri Cofield Kroll | Nurse Practitioner | 7 Saint Andrews Ct, Brunswick, GA 31520-6764 | 2008-09-23 |
| 1265613277 | M.j. Martelli, M.d. | Psychiatry & Neurology | 7 Saint Andrews Ct, Brunswick, GA 31520-6764 | 2007-11-19 |
| 1215920822 | Sue Anne Irene Brewer | Psychologist | 7 Saint Andrews Ct, Brunswick, GA 31520-6764 | 2005-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760953434 | David S Deuser Md & Associates PC | Psychiatry & Neurology | 7 Saint Andrews Court, Brunswick, GA 31520 | 2018-12-06 |
| 1063961845 | Irene Limon | Licensed Practical Nurse | 2009 Ellis Street, Brunswick, GA 31520 | 2016-09-22 |
| 1770936551 | Elaine Latimer-tandy | Counselor | 1801 Gloucester St Ste E, Brunswick, GA 31520 | 2016-07-18 |
| 1710336326 | Giva, Inc. | Home Health | 8 St Andrews Court, Brunswick, GA 31520 | 2016-06-06 |
| 1447618525 | Parmelee Eye Care LLC | Point of Service | 1909 Gloucester St, Brunswick, GA 31520 | 2016-02-04 |
| 1578947800 | Holly Diskin Kinsey | Nurse Practitioner | 3400 Parkwood Drive, Brunswick, GA 31520 | 2015-07-16 |
| 1679976419 | Miriam Hosey | Registered Nurse | 2747 Fourth Street, Glynn County Health Dept., Brunswick, GA 31520 | 2014-10-08 |
| 1558779348 | Tracey Renee Price | Internal Medicine | 3025 Shrine Rd Ste 290, Brunswick, GA 31520 | 2014-07-24 |
| 1770901951 | Candace Shepherd | Social Worker | 707 F Street, Brunswick, GA 31520 | 2014-04-03 |
| 1699193599 | Enrique Martinez, M.d., P.C. | Internal Medicine | 3114 A Shrine Road, Brunswick, GA 31520 | 2014-03-29 |
| Find all providers in zip 31520 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528697216 | Emily Barb | Social Worker | 1216 Younkins Dr, Brunswick, MD 21716-9752 | 2020-04-03 |
| 1801387295 | Allyson Christianson | Social Worker | 1115 Sycamore Ave, Brunswick, GA 31520-7440 | 2018-05-22 |
| 1811406440 | Lauren Burleigh | Social Worker | 6 Federal St, Brunswick, ME 04011-1508 | 2017-09-27 |
| 1699222828 | Laura Young | Social Worker | 62 Pegasus St Ste 300, Brunswick, ME 04011-5028 | 2016-09-06 |
| 1427414721 | Katherine Moeller | Social Worker | 54 Cumberland St Ste 4, Brunswick, ME 04011-1829 | 2016-01-04 |
| 1215303433 | Mary K Kunhardt | Social Worker | 116 Maquoit Rd, Brunswick, ME 04011 | 2015-08-12 |
| 1770901951 | Candace Shepherd | Social Worker | 707 F Street, Brunswick, GA 31520 | 2014-04-03 |
| 1396096533 | Katrina Renee Chisholm | Social Worker | 1 Youth Estate Dr, Brunswick, GA 31525-7206 | 2012-09-27 |
| 1417210105 | Justin C Trozzi | Social Worker | 37 Mill St # 7, Brunswick, ME 04011-1914 | 2012-06-19 |
| 1073873725 | N. Katherine Webb, Inc. | Social Worker | 502 1/2 Gloucester Street, Suite #3, Brunswick, GA 31520-7021 | 2012-05-29 |
| Find all providers in BRUNSWICK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.