Provider Demographics
NPI:1366775777
Name:CREAMER, MICHELE M (LICSW)
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:M
Last Name:CREAMER
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1071 WORCESTER RD
Mailing Address - Street 2:SUITE 43
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701-5247
Mailing Address - Country:US
Mailing Address - Phone:774-573-8222
Mailing Address - Fax:
Practice Address - Street 1:1071 WORCESTER RD
Practice Address - Street 2:SUITE 43
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701-5247
Practice Address - Country:US
Practice Address - Phone:774-573-8222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-16
Last Update Date:2015-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1133301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical