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General NPI Number Information
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NPI Number | 1609000298
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Entity Type | Individual
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Provider Name | JUDITH M CREECY LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/11/2009
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 1218 WOODS RD
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City | GERMANTOWN
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State | NY
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Zip | 12526-5626
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Country | US
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Telephone | 480-235-7934
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Fax | 602-685-6001
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Provider Business Mailing Address
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Address Line | 500 WESTOVER DR # 13619
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City | SANFORD
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State | NC
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Zip | 27330-8941
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW-0985
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 082170
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC05995700
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 014657
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License Number State | CT
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