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

Last updated

Jul 13, 2016By the provider in NPPES

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, LICSWNPI 1801246681

Title

Owner

Phone

(507) 838-1297

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Theresa Reuvers, MSW, LICSW

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Faribault, MN
  • NPI 1801246681
  Authorized official Same address or phone

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 (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.