CREATIVE SPACE CHILD THERAPY, LLC.
NPI 1255085056
Social Worker - Clinical in Cambridge, MD

Active since February 10, 2022
5304 CEDAR DR, CAMBRIDGE, MD 21613(410) 929-7427 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Creative Space Child Therapy, Llc. NPPES

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

CREATIVE SPACE CHILD THERAPY, LLC. (NPI 1255085056) is a healthcare organization registered as a clinical in Cambridge, Maryland and active in the NPI registry since February 2022. The organization lists Latrice Kiane Gray, Owner, as its authorized official.

NPPES Registry Identity

NPI1255085056
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCREATIVE SPACE CHILD THERAPY, LLC.
Location Address5304 CEDAR DRCambridge, MD 21613-4404
Mailing Address5304 Cedar DrCambridge, MD 21613-4404 · (410) 929-7427
Organization SubpartNo
Authorized OfficialLatrice Kiane GrayOwner · (410) 929-7427
Enumeration DateFebruary 10, 2022
NPPES CertifiedFebruary 10, 2022
NPI 1255085056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
5304 CEDAR DR, Cambridge, MD 21613

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
5304 CEDAR DR
CAMBRIDGE, MD 21613
Social Worker (Clinical)
5304 CEDAR DR
CAMBRIDGE, MD 21613
Social Worker
5304 CEDAR DR
CAMBRIDGE, MD 21613
Social Worker
5304 CEDAR DR
CAMBRIDGE, MD 21613
Counselor (Mental Health)
5304 CEDAR DR
CAMBRIDGE, MD 21613
Social Worker (Clinical)
5304 CEDAR DR
CAMBRIDGE, MD 21613

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 Space Child Therapy, LLC.'s NPI number?

The NPI number for Creative Space Child Therapy, LLC. is 1255085056. It was assigned to this organization in the NPPES registry on February 10, 2022.

Where is Creative Space Child Therapy, LLC. located?

Creative Space Child Therapy, LLC. is located at 5304 Cedar Dr, Cambridge, MD 21613. The listed phone number is (410) 929-7427.

What is Creative Space Child Therapy, LLC.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Creative Space Child Therapy, LLC. was last updated on February 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.