Healthcare Provider Details
I. General information
NPI: 1538096979
Provider Name (Legal Business Name): CREATIVE ALTERNATIVES PSYCHOTHERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/07/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4801 WISCONSIN AVE NW UNIT 505
WASHINGTON DC
20016-4634
US
IV. Provider business mailing address
1405 S FERN ST # 574
ARLINGTON VA
22202-2810
US
V. Phone/Fax
- Phone: 202-417-8707
- Fax: 202-417-8707
- Phone: 202-417-8707
- Fax: 202-417-8707
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
BRIAN
JOHN
RINK
Title or Position: OWNER-PRACTICE ADMINISTRATOR
Credential: LCSW
Phone: 202-417-8707