NPIMap

Organization Active NPI

In-Home Therapeutic Services of Slo

  • Social Worker
  • Los Osos, CA
National Provider Identifier
1669773313
Registry record updated Nov 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LCS10732 Issued in CA
Legal business name
IN-HOME THERAPEUTIC SERVICES OF SLO
Practice address
1788 Donna Ave
Los Osos, CA 93402-2014
Phone
(805) 441-8843
Fax
(805) 528-6401
NPI assigned
Nov 11, 2010
Last updated
Nov 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2010

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

Authorized official

Name
Arthur Wayne Frederick, LCSW,ACSW,DCSW
Title
Executive Director
Phone
(805) 441-8843

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LCS10732 CA Primary

Addresses

Primary practice location

1788 Donna Ave
Los Osos, CA 93402-2014

Mailing address

PO Box 6477
Los Osos, CA 93412-6477
Phone (805) 441-8843

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290470400000",
    "number": "1669773313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6477",
            "city": "LOS OSOS",
            "state": "CA",
            "postal_code": "934126477",
            "telephone_number": "805-441-8843",
            "fax_number": "805-528-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1788 DONNA AVE",
            "city": "LOS OSOS",
            "state": "CA",
            "postal_code": "934022014",
            "telephone_number": "805-441-8843",
            "fax_number": "805-528-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN-HOME THERAPEUTIC SERVICES OF SLO",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-11",
        "last_updated": "2010-11-23",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "805-441-8843",
        "authorized_official_credential": "LCSW,ACSW,DCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "LCS10732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Osos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; 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.