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Active NPI 1700805686 Individual Practitioner Female Practitioner

Channing Heavenor Creveling , MA CCC-SLP LLC

Speech-Language Pathologist • Clermont, FL

Professional Overview & Biography Verified Profile Summary

Channing Creveling, MA CCC-SLP LLC is a registered healthcare professional specializing in Speech-Language Pathologist in Clermont, FL. Practice services are available at 2400 S HIGHWAY 27 STE B201 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2400 S Highway 27 Ste B201

Clermont, FL 347116816

Telephone 3523940212
Fax 3522416361
Associated Practice Facility / Clinic
🏢 Central Florida Dreamplex Llc Facility NPI 1952523490

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Clermont, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.4 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
70 Specialists

Practicing in Clermont, FL (11640 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-10-10
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License FL SA12781

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License NC 6881

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
7412500 (NC)
Medicaid State Provider ID
104167600 (FL)

Secondary Practice Locations

5125 Adanson St Ste 750

Orlando, FL 328041327

Phone: 3523940212

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kaitlin Walsh , OTR, L

Occupational Therapist

NPI 1003276619

Occupational Therapist Registered, L

Ashleigh Doiron

Early Intervention Provider Agency

NPI 1003575374
Heather Gingrasso

Physical Therapy Assistant

NPI 1013373901
Whitney Williams , PTA

Physical Therapy Assistant

NPI 1013601855

Physical Therapist Assistant

Annaliese Alicea , COTA

Occupational Therapy Assistant

NPI 1013630805

Certified Occupational Therapy Assistant

Barbara De Jesus-Rivera , MS, CCC-SLP

Speech-Language Pathologist

NPI 1033290556

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location October 10, 2020

Registered at 2400 S HIGHWAY 27 STE B201, CLERMONT, FL 347116816 (Tel: 3523940212)

📍
Updated Business Mailing Address October 10, 2020

Registered at 1746 E SILVER STAR RD STE 133, OCOEE, FL 347617014 (Tel: 9105382325)

NPI Profile Active August 25, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location August 25, 2011

Registered at 213 MCQUILLAN DRIVE, WILMINGTON, NC 28412 (Tel: 9105382325)

📍
Updated Business Mailing Address August 25, 2011

Registered at PO BOX 12333, WILMINGTON, NC 284050110 (Tel: 9105382325)

👤
Provider Name / Credentials Updated August 25, 2011

Recorded as CHANNING CREVELING, MA CCC-SLP LLC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2011

Speech-Language Pathologist (License #6881 in NC)

🟢
Initial NPI Registration & Enumeration July 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1700805686
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2006
Last Update: October 10, 2020
Sole Proprietor: Yes

Mailing Address

1746 E Silver Star Rd Ste 133

Ocoee, FL 347617014

Phone: 9105382325

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.