Organization Active NPI

Teresa Boyd Strader LLC

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1114658994
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TERESA BOYD STRADER LLC
Practice address
303 Middletown Park PL Ste H
Louisville, KY 40243-2516
Phone
(866) 498-1974
NPI assigned
Jun 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Teresa Strader, L.C.S.W.
Title
Owner
Phone
(502) 693-5232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

303 Middletown Park PL Ste H
Louisville, KY 40243-2516

Mailing address

1711 Nat Rogers Rd
New Haven, KY 40051-5047
Phone (502) 693-5232

National Provider Directory

National Provider Directory

Locations

303 Middletown Park Pl
Ste H
Louisville, KY 40243
Phone (866) 498-1974

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1114658994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 NAT ROGERS RD",
            "city": "NEW HAVEN",
            "state": "KY",
            "postal_code": "400515047",
            "telephone_number": "502-693-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 MIDDLETOWN PARK PL STE H",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402432516",
            "telephone_number": "866-498-1974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA BOYD STRADER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-21",
        "status": "A",
        "authorized_official_last_name": "STRADER",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-693-5232",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.