Active NPI
Teresa Marie Loudenslager, LLMSW
- Clinical Social Worker
- Grayling, MI
National Provider Identifier
1316228497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801092254
- Practice address
- 205 Meadows Dr
Grayling, MI 49738-2014 - Phone
- (231) 555-1212
- NPI assigned
- Sep 2, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801092254 | MI | Primary |
Addresses
Primary practice location
205 Meadows Dr
Grayling, MI 49738-2014
Mailing address
205 Meadows Dr
Grayling, MI 49738-2014
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801092254 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329091200000",
"number": "1316228497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 MEADOWS DR",
"city": "GRAYLING",
"state": "MI",
"postal_code": "497382014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 MEADOWS DR",
"city": "GRAYLING",
"state": "MI",
"postal_code": "497382014",
"telephone_number": "231-555-1212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOUDENSLAGER",
"first_name": "TERESA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LLMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-02",
"last_updated": "2012-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801092254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grayling, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.