Organization Active NPI

Therese White MSW LCSW Therapeutic Services LLC

  • Clinical Social Worker
  • Dillon, CO
National Provider Identifier
1861029043
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THERESE WHITE MSW LCSW THERAPEUTIC SERVICES LLC
Practice address
124 Main St. Suite 305
Dillon, CO 80435
Phone
(630) 508-4545
NPI assigned
Mar 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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

Authorized official

Name
Therese White
Title
LCSW
Phone
(630) 508-4545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

124 Main St. Suite 305
Dillon, CO 80435

Mailing address

PO Box 1292
Silverthorne, CO 80498-1292

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585180800000",
    "number": "1861029043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1292",
            "city": "SILVERTHORNE",
            "state": "CO",
            "postal_code": "804981292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 MAIN ST. SUITE 305",
            "city": "DILLON",
            "state": "CO",
            "postal_code": "80435",
            "telephone_number": "630-508-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESE WHITE MSW LCSW THERAPEUTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "THERESE",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "630-508-4545"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dillon, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.