MEDICARE: CREATEWELLNESS, LICENSED CLINICAL SOCIAL WORKER CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1689289944
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CREATEWELLNESS, LICENSED CLINICAL SOCIAL WORKER CORPORATION

Provider Business Mailing Address
First Line	:	10303 DORCHESTER ST
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93311-4921
Country	:	US
Telephone Number	:	805-870-5709
Fax Number	:	844-907-2005

Provider Business Practice Location Address
First Line	:	5250 HAYTER AVENUE
Second Line	:
City	:	LAKEWOOD
State	:	CA
Zip	:	90712
Country	:	US
Telephone Number	:	805-870-5709
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL DIRECTOR
Name	:	KALKIDAN ZERYIHUN
Credential	:
Telephone Number	:	805-870-5709

Provider Enumeration Date	:	09/14/2020
Last Update Date	:	03/29/2021

Similar Medicare Providers

1750348363 — THAO YEN HOANG D.O.
Practice Location Address:

5001 LAKEWOOD BLVD STE C
LAKEWOOD, CA
90712-2412

Practice Phone: 562-361-5671
Practice Fax:

1679436448 — VERONICA FREEDMAN
Practice Location Address:

3947 FAIRMAN ST
LAKEWOOD, CA
90712-3855

Practice Phone: 562-331-9623
Practice Fax:

1215890983 — SAMPLEX A PROFESSIONAL CORPORATION
Practice Location Address:

3650 SOUTH ST STE 308
LAKEWOOD, CA
90712-1518

Practice Phone: 562-633-2275
Practice Fax:

1558189761 — SPENCER STERLING DPM
Practice Location Address:

5750 DOWNEY AVE STE 203
LAKEWOOD, CA
90712-1471

Practice Phone: 562-200-0334
Practice Fax:

1093848509 — PROHEALTH PARTNERS A MEDICAL GROUP INC
Practice Location Address:

5750 DOWNEY AVE , SUITE 100
LAKEWOOD, CA
90712-1405

Practice Phone: 562-630-3105
Practice Fax: 562-630-3853

1265708531 — JOHANA ESTHER FLORES RIOS M.D.
Practice Location Address:

5001 LAKEWOOD BLVD
LAKEWOOD, CA
90712-2412

Practice Phone: 562-361-5650
Practice Fax:

1700377421 — DR. SOCRATES HEUREAUX PSY.D.
Practice Location Address:

4060 WATSON PLAZA DR
LAKEWOOD, CA
90712-4033

Practice Phone: 213-500-0016
Practice Fax:

Directions to “CREATEWELLNESS, LICENSED CLINICAL SOCIAL WORKER CORPORATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.