Lea Marie Thornton, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

17193 Issued in MN

Practice address

101 Pine St W
Stillwater, MN 55082-4994

Phone

(651) 439-8800

NPI assigned

Apr 28, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Youth Service Bureau Inc

  • Counselor
  • Stillwater, MN
  • NPI 1528164852
  NPD (past)

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1861719031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PINE ST W",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550824994",
            "telephone_number": "651-439-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PINE ST W",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550824994",
            "telephone_number": "651-439-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "LEA",
        "middle_name": "MARIE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "17193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemarie Nicole Then
• Thomas Rieser MD PLLC
• Amber Torria Thomas, MSN, CNP, FNP-BC
• Traci Thompson, MSW, LICSW
• Sharron Thomson, CNNP
• Chloe Thorpe, DC
• Brian J Tienor, MD
• Andrea Lyn Tipple, MD
• Shannon Tomfohrde, M.D.
• Jacob Tone

• Clinical Social Worker in Stillwater, MN
• Providers in Stillwater, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.