Organization Active NPI

Out the Box Therapy LLC

  • Clinical Social Worker
  • Warren, MI
National Provider Identifier
1265284798
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
OUT THE BOX THERAPY LLC
Practice address
5215 Bradmore LN
Warren, MI 48092-6322
Phone
(734) 678-1363
NPI assigned
Apr 5, 2024
Last updated
Oct 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Authorized official

Name
Clara Throckmorton, LCSWNPI 1477827830
Title
Owner
Phone
(734) 678-1363

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

5215 Bradmore LN
Warren, MI 48092-6322

Mailing address

921 Lulworth LN
Lawrenceville, GA 30044-2760
Phone (734) 678-1363

Other practice location 1

921 Lulworth Ln
Lawrenceville, GA 30044-2760
Phone (734) 678-1363

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1712275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1265284798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 LULWORTH LN",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300442760",
            "telephone_number": "734-678-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 BRADMORE LN",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480926322",
            "telephone_number": "734-678-1363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "921 Lulworth Ln",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300442760",
            "country_code": "US",
            "telephone_number": "734-678-1363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OUT THE BOX THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-05",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "THROCKMORTON",
        "authorized_official_first_name": "CLARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-678-1363",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.