DR. LARYSSA M CRESWELL (NPI# 1427513209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427513209 |
| Entity Type | Individual |
| Full Name | DR. LARYSSA M CRESWELL |
| Credential | MT-BC, LCPC, LPC |
| Practice Address |
2972 Penwick Ln Dunkirk MD 20754-9403 |
| Mailing Address |
2907 Valerian Ln Upper Marlboro MD 20774-9215 |
| Practice Telephone | 3016900779 |
| Mailing Telephone | 4109089857 |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2019-02-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LC6298 | MD | Behavioral Health & Social Service Providers |
| N | 225A00000X | Music Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2972 PENWICK LN |
| City | DUNKIRK |
| State | MD |
| Zip Code | 20754-9403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841608296 | Dunkirk Specialist Care | Neuromusculoskeletal Medicine & OMM | 2972 Penwick Ln, Dunkirk, MD 20754-9403 | 2014-07-30 |
| 1477961829 | Brightseat Health Baltimore | Internal Medicine | 2972 Penwick Ln, Dunkirk, MD 20754-9403 | 2014-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093855819 | Katherine Lambert | Physician Assistant | 10095 Ward Rd, Dunkirk, MD 20754 | 2007-02-08 |
| 1043377963 | Lengade and Zolfaghari LLC | Dentist | 10020 Southern Md Blvd, Ste 201a, Dunkirk, MD 20754 | 2007-01-02 |
| 1346347838 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 10095 Ward Rd Dunkirk Marketplace, Dunkirk, MD 20754 | 2006-09-19 |
| 1043320161 | Kenneth C Kates Jr. | Dentist | 10345 Southern Maryland Blvd, Suite 211, Dunkirk, MD 20754 | 2006-08-30 |
| 1841200813 | Giant of Maryland LLC | Durable Medical Equipment & Medical Supplies | 10790 Town Center Blvd, Dunkirk, MD 20754 | 2006-08-09 |
| 1184691263 | Laura Susana Radesca | Dentist | 2880 Dunkirk Way, Suite 103, Dunkirk, MD 20754 | 2006-03-07 |
| 1568936821 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 10845 Town Center Blvd Ste 101, Dunkirk, MD 20754 | 2019-01-18 |
| 1023328473 | Calvert Family and Cosmetic Dentistry | Dentist | 10365 Southern Maryland Blvd, Dunkirk, MD 20754 | 2010-10-19 |
| 1851417430 | Dennis Michael Cherry | Dentist | 10420 Southern Maryland Blvd, Dunkirk, MD 20754 | 2007-03-22 |
| 1083681191 | Jose Carlos Juambeltz | Dentist | 2880 Dunkirk Way, Suite 103, Dunkirk, MD 20754 | 2006-03-07 |
| Find all providers in zip 20754 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770976680 | Paula K Newsome | Counselor | 10339 Southern Maryland Blvd, Suite 205, Dunkirk, MD 20754-3017 | 2015-03-17 |
| 1609425503 | Vincent Noble | Counselor | 319 Central Ave, Dunkirk, NY 14048-2137 | 2019-09-04 |
| 1295291631 | Chelsea Marie Gray | Counselor | 319 Central Ave, Dunkirk, NY 14048-2137 | 2019-02-11 |
| 1295217149 | Kristen Roberts | Counselor | 319 Central Ave Ste B, Dunkirk, NY 14048-2137 | 2018-09-06 |
| 1700386976 | Kamie L. Fields | Counselor | 186 Lake Shore Dr W, Dunkirk, NY 14048-1437 | 2018-02-14 |
| 1780129148 | Ladonna Johnson | Counselor | 11275 Southern Maryland Blvd, Dunkirk, MD 20754-9546 | 2016-12-21 |
| 1760939789 | Shannon Cole | Counselor | 319 Central Ave, Suite B, Dunkirk, NY 14048-2137 | 2016-09-07 |
| 1346578424 | Tana Rene Rosendahl | Counselor | 319 Central Ave, Dunkirk, NY 14048 | 2009-11-30 |
| 1497951677 | Jermaine J Kenner | Counselor | 319 Central Ave, Dunkirk, NY 14048-2137 | 2007-06-25 |
| 1992845317 | Stacey W Morey | Counselor | 319 Central Ave, Dunkirk, NY 14048-2137 | 2007-02-07 |
| Find all providers in DUNKIRK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.