Doctor Name: | MS. REBECCA ELLEN CREED |
NPI Number: | 1194900928 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 0904002185 |
Business Practice Address: | 9524 Hospital Ave Nassawadox, VA - 234130077 |
Business Phone Number: | 7576950138 |
Business Fax Number: | |
Mailing Address: | Po Box 543, CAPE CHARLES |
State: | VA |
Postal Code: | 233100543 |
Phone Number: | 7576950138 |
Fax Number: | |
NPI Enumeration Date: | 12/28/2007 |
NPI Last Update Date: | 12/28/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 0904002185 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |