Active NPI
Empowered Therapy by Tara Lorenz, PLLC
- Clinical Social Worker
- Watford City, ND
National Provider Identifier
1619518412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tara McRae Lorenz, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 DirectoryLocations
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.
-
- Clinical Social Worker
- Williston, ND
- NPI 1831459106
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.