Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Creative Space Child Therapy, LLC

Organization Clinical Social Worker · NPI 1255085056

Creative Space Child Therapy, LLC is a Clinical Social Worker in Cambridge, Maryland. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5304 Cedar Dr
Cambridge, MD 21613-4404
Phone: (410) 929-7427
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1255085056
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Latrice Gray — Owner · (410) 929-7427
NPI enumeratedFebruary 10, 2022
Last updated in NPPESFebruary 10, 2022
Certification dateFebruary 10, 2022
Mailing address5304 Cedar Dr, Cambridge, MD 21613-4404

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