Individual provider Active NPI

Sarresa Thorson, LCSW

  • Clinical Social Worker
  • Del Valle, TX
National Provider Identifier
1538630199
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
58380 Issued in TX
Practice address
5102 Emma Browning Ave
36TH Sustainment Brigade, HHC; Social Work Dept
Del Valle, TX 78617-3647
Phone
(210) 381-2597
NPI assigned
Dec 7, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 58380 TX Primary

Addresses

Primary practice location

5102 Emma Browning Ave
36TH Sustainment Brigade, HHC; Social Work Dept
Del Valle, TX 78617-3647

Mailing address

5102 Emma Browning Ave
36TH Sustainment Brigade, HHC; Social Work Dept
Del Valle, TX 78617-3647

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

LicenseStateTypeSpecialty
58380TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1544140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1538630199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5102 EMMA BROWNING AVE",
            "address_2": "36TH SUSTAINMENT BRIGADE, HHC; SOCIAL WORK DEPT",
            "city": "DEL VALLE",
            "state": "TX",
            "postal_code": "786173647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5102 EMMA BROWNING AVE",
            "address_2": "36TH SUSTAINMENT BRIGADE, HHC; SOCIAL WORK DEPT",
            "city": "DEL VALLE",
            "state": "TX",
            "postal_code": "786173647",
            "telephone_number": "210-381-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORSON",
        "first_name": "SARRESA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-07",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "58380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Valle, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.