Provider Demographics
NPI:1720820772
Name:CREMEANS, PAIGE (LLMSW, DP-C)
Entity type:Individual
Prefix:
First Name:PAIGE
Middle Name:
Last Name:CREMEANS
Suffix:
Gender:F
Credentials:LLMSW, DP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1612 MOORE RD
Mailing Address - Street 2:
Mailing Address - City:ADRIAN
Mailing Address - State:MI
Mailing Address - Zip Code:49221-1064
Mailing Address - Country:US
Mailing Address - Phone:517-633-0960
Mailing Address - Fax:
Practice Address - Street 1:110 READING AVE
Practice Address - Street 2:
Practice Address - City:JONESVILLE
Practice Address - State:MI
Practice Address - Zip Code:49250-1136
Practice Address - Country:US
Practice Address - Phone:517-633-0960
Practice Address - Fax:517-633-0960
Is Sole Proprietor?:No
Enumeration Date:2024-06-11
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
MI68511204131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)