River Ease Psychotherapy Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RIVER EASE PSYCHOTHERAPY SERVICES

Practice address

125 State St Ste 1
Clayton, NY 13624-1355

Phone

(315) 686-1234

NPI assigned

Jan 25, 2020

Last updated

Jan 25, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Linda McTague, LCSW-R

Title

Provider

Phone

(315) 686-1234

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1579910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579910400000",
    "number": "1740810027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 STATE ST STE 1",
            "city": "CLAYTON",
            "state": "NY",
            "postal_code": "136241355",
            "telephone_number": "315-686-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 STATE ST STE 1",
            "city": "CLAYTON",
            "state": "NY",
            "postal_code": "136241355",
            "telephone_number": "315-686-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER EASE PSYCHOTHERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-25",
        "last_updated": "2020-01-25",
        "certification_date": "2020-01-25",
        "status": "A",
        "authorized_official_last_name": "MCTAGUE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "315-686-1234",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.therapynotes.com",
            "affiliation": "N",
            "address_1": "125 State St Ste 1",
            "city": "Clayton",
            "state": "NY",
            "country_code": "US",
            "postal_code": "136241355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Clinical Social Worker in Clayton, NY
• Providers in Clayton, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2020; 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.