| Creative Care Group Inc | |
|
7405 Metropolitan Ave Ste 2f Middle Village NY 11379-2699 | |
| (718) 637-6400 | |
| (718) 228-2845 |
| Full Name | Creative Care Group Inc |
|---|---|
| Speciality | Social Worker |
| Location | 7405 Metropolitan Ave Ste 2f, Middle Village, New York |
| Authorized Official Name and Position | Luz Mariel Oviedo (OWNER/CEO) |
| Authorized Official Contact | 9177737637 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Care Group Inc 2055 Valentines Rd Westbury NY 11590-5847 Ph: (917) 773-7637 | Creative Care Group Inc 7405 Metropolitan Ave Ste 2f Middle Village NY 11379-2699 Ph: (718) 637-6400 |
| NPI Number | 1679069546 |
|---|---|
| Provider Enumeration Date | 07/03/2018 |
| Last Update Date | 10/10/2024 |
| Certification Date | 10/10/2024 |
| Medicare PECOS PAC ID | 1850621889 |
|---|---|
| Medicare Enrollment ID | O20190918000830 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679069546 | NPI | - | NPPES |
| Provider Name | Marina Christodoulou-macfie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962654152 PECOS PAC ID: 6406983329 Enrollment ID: I20100609000961 |
| Provider Name | Luz M Oviedo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033305982 PECOS PAC ID: 1355503574 Enrollment ID: I20120507000040 |
| Provider Name | Louise R Cangialosi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093160152 PECOS PAC ID: 9537441902 Enrollment ID: I20170119000595 |
| Provider Name | Janice Mordi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831499854 PECOS PAC ID: 6002163789 Enrollment ID: I20180726001590 |
| Provider Name | Roxanne Arthur-shittu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376067447 PECOS PAC ID: 7012346596 Enrollment ID: I20200403001990 |
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