Teri Schilling Licsw LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

10248 Issued in MN

Legal business name

TERI SCHILLING LICSW LLC

Doing business as

Teri Schilling LICSW Family & Individual Therapy

Practice address

38878 12TH Ave
North Branch, MN 55056-6658

Phone

(651) 246-8679

NPI assigned

Dec 12, 2017

Last updated

Dec 12, 2017By 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

Teri Schilling, LICSWNPI 1598998692

Title

Mental Health Therapist

Phone

(651) 246-8679

Specialties & licenses 1

Addresses

Other names 1

• Teri Schilling LICSW Family & Individual Therapy Doing business as

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.

• Teri Lynn Schilling, MSW

  • Social Worker
  • Pine City, MN
  • NPI 1598998692
  NPD (past) Authorized official

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1306351366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 362",
            "city": "NORTH BRANCH",
            "state": "MN",
            "postal_code": "550560362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38878 12TH AVE",
            "city": "NORTH BRANCH",
            "state": "MN",
            "postal_code": "550566658",
            "telephone_number": "651-246-8679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERI SCHILLING LICSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-12",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "SCHILLING",
        "authorized_official_first_name": "TERI",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "651-246-8679",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "10248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Teri Schilling LICSW Family & Individual Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in North Branch, MN
• Providers in North Branch, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; 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.