Active NPI
Out the Box Therapy LLC
- Clinical Social Worker
- Warren, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Clara Throckmorton, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Social Worker
- Atlanta, GA
- NPI 1477827830
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.