Theresa Lerner LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THERESA LERNER LLC

Practice address

33 Pratt St
Glastonbury, CT 06033-1014

Phone

(860) 946-0447

NPI assigned

Mar 19, 2021

Last updated

Mar 28, 2021By 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

Theresa M Lerner, LCSW

Title

President

Phone

(860) 982-1408

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616889600000",
    "number": "1417533605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 OSAGE RD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061171334",
            "telephone_number": "860-982-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 PRATT ST",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331014",
            "telephone_number": "860-946-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA LERNER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-03-28",
        "certification_date": "2021-03-28",
        "status": "A",
        "authorized_official_last_name": "LERNER",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-982-1408",
        "authorized_official_credential": "LCSW"
    },
    "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 Glastonbury, CT
• Providers in Glastonbury, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2021; 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.