CREATIVE CENTER FOR WELLNESS, INCORPORATED
NPI 1154837946
Social Worker - Clinical in Monroe, GA

Active since December 16, 2017
204 W SPRING ST, MONROE, GA 30655(707) 599-7508(866) 734-7631 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 9, 2025, May 23, 2021, Dec 16, 2017 (3 updates tracked since 2017).

About Creative Center For Wellness, Incorporated NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CREATIVE CENTER FOR WELLNESS, INCORPORATED (NPI 1154837946) is a healthcare organization registered as a clinical in Monroe, Georgia and active in the NPI registry since December 2017. The organization lists Mandy Michelle Miller, Ceo, as its authorized official.

NPPES Registry Identity

NPI1154837946
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCREATIVE CENTER FOR WELLNESS, INCORPORATED
Location Address204 W SPRING STMonroe, GA 30655-1914
Mailing Address204 W Spring StMonroe, GA 30655-1914 · (707) 599-7508
Fax(866) 734-7631
Organization SubpartNo
Authorized OfficialMandy Michelle MillerCeo · (770) 599-7508
Enumeration DateDecember 16, 2017
Last NPPES UpdateApril 9, 20253 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
✔ NPI 1154837946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in GA · CSW004354
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
204 W SPRING ST, Monroe, GA 30655

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Creative Center For Wellness, Incorporated is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Creative Center For Wellness, Incorporated, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Clinical Social Worker
NPI 1669745642
204 W SPRING ST
Monroe, GA 30655
(770) 599-7508
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1487819207
204 W SPRING ST
Monroe, GA 30655
(678) 509-7178
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1003439928
204 W SPRING ST
Monroe, GA 30655
(770) 599-7508
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1518449768
1298 RIVERWIND DR
Lawrenceville, GA 30043
(973) 432-1628
✔ PECOS21 mi
Occupational Therapist in Private Practice
NPI 1134650195
304 E 6TH AVE
Rome, GA 30161
(706) 378-9044
89 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Creative Center For Wellness, Incorporated's NPI number?

The NPI number for Creative Center For Wellness, Incorporated is 1154837946. It was assigned to this organization in the NPPES registry on December 16, 2017.

Where is Creative Center For Wellness, Incorporated located?

Creative Center For Wellness, Incorporated is located at 204 W Spring St, Monroe, GA 30655. The listed phone number is (707) 599-7508.

What is Creative Center For Wellness, Incorporated's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Creative Center For Wellness, Incorporated enrolled in Medicare?

Yes. Creative Center For Wellness, Incorporated is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Creative Center For Wellness, Incorporated?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Creative Center For Wellness, Incorporated. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (3), Nurse Practitioner (1) and Occupational Therapist in Private Practice (1). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Creative Center For Wellness, Incorporated was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.