NPIMap

Organization Active NPI

LT Resources

  • Social Worker
  • Sparta, WI
National Provider Identifier
1629223979
Registry record updated Nov 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
3117125 Issued in WI
Legal business name
LT RESOURCES
Practice address
103 S Water St
Suite 6
Sparta, WI 54656-1773
Phone
(608) 366-1675
Fax
(608) 269-1692
NPI assigned
Nov 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2008

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

Authorized official

Name
Lynn Truog, LPC, MS
Title
Owner
Phone
(608) 366-1675

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X 3117125 WI Primary

Addresses

Primary practice location

103 S Water St
Suite 6
Sparta, WI 54656-1773

Mailing address

103 S Water St
Suite 6
Sparta, WI 54656-1773
Phone (608) 366-1675

Other identifiers 1

IdentifierTypeStateIssuer
42254300MedicaidWI

National Provider Directory

National Provider Directory

Locations

103 S Water St
Ste 6
Sparta, WI 54656
Phone (608) 366-1675

NPI Registry JSON

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

{
    "created_epoch": "1227830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227830400000",
    "number": "1629223979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 S WATER ST",
            "address_2": "SUITE 6",
            "city": "SPARTA",
            "state": "WI",
            "postal_code": "546561773",
            "telephone_number": "608-366-1675",
            "fax_number": "608-269-1692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S WATER ST",
            "address_2": "SUITE 6",
            "city": "SPARTA",
            "state": "WI",
            "postal_code": "546561773",
            "telephone_number": "608-366-1675",
            "fax_number": "608-269-1692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LT RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-28",
        "last_updated": "2008-11-28",
        "status": "A",
        "authorized_official_last_name": "TRUOG",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-366-1675",
        "authorized_official_credential": "LPC, MS"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "WI",
            "license": "3117125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42254300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2008; 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.