Organization Active NPI

Empowered Therapy by Tara Lorenz, PLLC

  • Clinical Social Worker
  • Watford City, ND
National Provider Identifier
1619518412
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
EMPOWERED THERAPY BY TARA LORENZ, PLLC
Practice address
722 N Main St Unit 4B
Watford City, ND 58854-7351
Phone
(701) 444-3979
Fax
(701) 444-3944
NPI assigned
Oct 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Authorized official

Name
Tara McRae Lorenz, LCSWNPI 1831459106
Title
Owner
Phone
(701) 444-3979

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

722 N Main St Unit 4B
Watford City, ND 58854-7351

Mailing address

722 N Main St Unit 4B
Watford City, ND 58854-7351
Phone (701) 444-3979

National Provider Directory

National Provider Directory

Locations

722 N Main St
Unit 4B
Watford City, ND 58854
Phone (701) 444-3979

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569974400000",
    "number": "1619518412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 N MAIN ST UNIT 4B",
            "city": "WATFORD CITY",
            "state": "ND",
            "postal_code": "588547351",
            "telephone_number": "701-444-3979",
            "fax_number": "701-444-3944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 N MAIN ST UNIT 4B",
            "city": "WATFORD CITY",
            "state": "ND",
            "postal_code": "588547351",
            "telephone_number": "701-444-3979",
            "fax_number": "701-444-3944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERED THERAPY BY TARA LORENZ, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-02",
        "last_updated": "2019-10-02",
        "status": "A",
        "authorized_official_last_name": "LORENZ",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "MCRAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-444-3979",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watford City, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.