Resilient Living LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

22678 Issued in MN

Legal business name

RESILIENT LIVING LLC

Practice address

21378 Elmore Ave
Faribault, MN 55021-7883

Phone

(507) 838-1297

NPI assigned

Jul 13, 2016

Organization subpart

No

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

Authorized official

Name

Theresa Ann Reuvers, MSW, LICSW

Title

Owner

Phone

(507) 838-1297

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468368000000",
    "number": "1154774255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21378 ELMORE AVE",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550217883",
            "telephone_number": "507-838-1297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21378 ELMORE AVE",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550217883",
            "telephone_number": "507-838-1297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENT LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-07-13",
        "status": "A",
        "authorized_official_last_name": "REUVERS",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-838-1297",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "22678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler J Ranslow
• Stephen Jude Rapatz-Harr, PA
• Anna Reicks
• Reliable Medical Supply LLC
• Jennifer Lynn Reside, AU.D., CCC-A
• Isabel Ceceil Reuvers
• Mark Anthony Reuvers
• Theresa Reuvers, MSW, LICSW
• Rice County Activity Center
• Rice County District One Hospital

• Clinical Social Worker in Faribault, MN
• Providers in Faribault, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; 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.