MEDICARE: CAROL J CREIGHTON LCSW

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	PR011345-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000500044001	OTHER	NY	HEALTH NOW

General Provider Information

NPI Number	:	1710971361
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROL J CREIGHTON LCSW

Provider Business Mailing Address
First Line	:	1837 HERTEL AVE
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14216-3006
Country	:	US
Telephone Number	:	716-834-0990
Fax Number	:	716-834-5116

Provider Business Practice Location Address
First Line	:	1837 HERTEL AVE
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14216-3006
Country	:	US
Telephone Number	:	716-834-0990
Fax Number	:	716-834-5116

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2005
Last Update Date	:	08/09/2012

Similar Medicare Providers

1942465042 — ANN MARIE BECKLEY-FOREST LCSW
Practice Location Address:

1837 HERTEL AVE , STE 2
BUFFALO, NY
14216-3006

Practice Phone: 716-553-2256
Practice Fax:

1972092203 — MRS. MORGAN ELIZABETH MINISTERO M.S.ED., CCC/SLP
Practice Location Address:

140 TACOMA AVE
BUFFALO, NY
14216-2335

Practice Phone: 716-816-4060
Practice Fax:

1215935994 — DR. DAVID ALAN BURSTEIN OD
Practice Location Address:

924 KENMORE AVE
BUFFALO, NY
14216-1451

Practice Phone: 716-876-2020
Practice Fax: 716-876-3261

1720089568 — DR. STEVEN R. CAPROW D.C.
Practice Location Address:

1748 HERTEL AVE
BUFFALO, NY
14216-3002

Practice Phone: 716-835-0066
Practice Fax: 716-835-9700

1396737532 — DR. THOMAS JOHN CUMBO MD
Practice Location Address:

354 LINCOLN PKWY
BUFFALO, NY
14216-3121

Practice Phone: 716-873-8311
Practice Fax: 716-447-9152

1639168826 — DR. KENNETH J RACZKA D.D.S.
Practice Location Address:

1603 HERTEL AVE
BUFFALO, NY
14216-2903

Practice Phone: 716-838-1415
Practice Fax: 716-838-1143

Directions to “ CAROL J CREIGHTON LCSW” 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.