Organization Active NPI

The Traveling Therapist, LLC

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1366933632
Registry record updated Aug 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09924210 Issued in CO
Legal business name
THE TRAVELING THERAPIST, LLC
Practice address
6319 Sundance Kid Dr
Colorado Springs, CO 80923
Phone
(719) 290-0854
NPI assigned
May 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2018

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

Authorized official

Name
Emily Maney, LCSW
Title
Owner
Phone
(719) 290-0854

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X CSW.09924210 CO Primary

Addresses

Primary practice location

6319 Sundance Kid Dr
Colorado Springs, CO 80923

Mailing address

6319 Sundance Kid Dr
Colorado Springs, CO 80923-7434
Phone (719) 290-0854

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533686400000",
    "number": "1366933632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6319 SUNDANCE KID DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809237434",
            "telephone_number": "719-290-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6319 SUNDANCE KID DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80923",
            "telephone_number": "719-290-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE TRAVELING THERAPIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-08-08",
        "status": "A",
        "authorized_official_last_name": "MANEY",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-290-0854",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09924210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.