Innovative Therapy Solutions

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

116891 Issued in MA

Legal business name

INNOVATIVE THERAPY SOLUTIONS

Practice address

314 Main St
Office 8
Great Barrington, MA 01230-1744

Phone

(413) 344-3226

NPI assigned

Nov 7, 2016

Last updated

Nov 7, 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

Mr. T Micelli Miller, LICSW

Title

Owner/Therpaist Licsw

Phone

(413) 344-3226

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1265974489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 LIME ROCK RD",
            "city": "LAKEVILLE",
            "state": "CT",
            "postal_code": "060392404",
            "telephone_number": "860-596-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 MAIN ST",
            "address_2": "OFFICE 8",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012301744",
            "telephone_number": "413-344-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE THERAPY SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-07",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "T",
        "authorized_official_middle_name": "MICELLI",
        "authorized_official_title_or_position": "OWNER/THERPAIST LICSW",
        "authorized_official_telephone_number": "413-344-3226",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "116891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Wayne Humphrey, DC
• Frederic Philip Hyman, D.D.S.
• Trezinha Hyvernaud
• Inglis Wellness Clinic PLLC
• Alan Inglis, MD
• Invivo Institute Research Foundation Inc.
• Linda J Jackson, LIC. AC.
• Sarah Jackson, MFA, MA, LP
• William Bradley Jackson, PTA
• Donna Withee Jacobs, LICSW

• Clinical Social Worker in Great Barrington, MA
• Providers in Great Barrington, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.