Theresa M Bateman LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THERESA M BATEMAN LMSW

Practice address

2265 Livernois Rd Ste 260
Troy, MI 48083-1639

Phone

(313) 784-0017

Fax

(517) 920-4702

NPI assigned

Sep 17, 2020

Organization subpart

No

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

Authorized official

Name

Theresa M Bateman, LMSW

Title

LMSW

Phone

(313) 784-0017

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600300800000",
    "number": "1326654187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5166 DAYTON DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480854051",
            "telephone_number": "313-784-0017",
            "fax_number": "517-920-4702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2265 LIVERNOIS RD STE 260",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831639",
            "telephone_number": "313-784-0017",
            "fax_number": "517-920-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA M BATEMAN LMSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-17",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A",
        "authorized_official_last_name": "BATEMAN",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LMSW",
        "authorized_official_telephone_number": "313-784-0017",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Troy, MI
• Providers in Troy, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.