Courtney Rose Threats, LICSW, AADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW04025 Issued in RI

Practice address

3 Whispering Pines CT
West Warwick, RI 02893-5586

Phone

(401) 854-8334

NPI assigned

Dec 12, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1295446243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WHISPERING PINES CT",
            "city": "WEST WARWICK",
            "state": "RI",
            "postal_code": "028935586",
            "telephone_number": "401-854-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WHISPERING PINES CT",
            "city": "WEST WARWICK",
            "state": "RI",
            "postal_code": "028935586",
            "telephone_number": "401-854-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THREATS",
        "first_name": "COURTNEY",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "LICSW, AADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2024-01-31",
        "certification_date": "2022-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "CSW01753",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW04025",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "RI",
            "license": "CPD00969",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Taveras, LICSW
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• Kathryn Helen Tente, APRN
• Therapeutic Services of New England, LLC
• Pascale A Thomas
• Christine E Thrift, PT
• Thrive Behavioral Health
• Thundermist Health Center
• Tides Family Services
• Tides Family Services, Inc

• Clinical Social Worker in West Warwick, RI
• Providers in West Warwick, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.