Theresa G Bohr, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I. 1502400 Issued in OH

Practice address

611 Belmont Ave
Youngstown, OH 44502-1037

Phone

(330) 744-2991

NPI assigned

Oct 23, 2013

Last updated

Nov 3, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Counseling Solutions LLCGroup PAC ID 2860799459, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Advanced Counseling Solutions LLC

  • Counselor
  • Austintown, OH
  • NPI 1699098418
  Medicare reassignment Care Compare group NPD
• Compass Family and Community Services

  • Community/Behavioral Health Agency
  • Warren, OH
  • NPI 1083054506
  NPD (past)

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446508800000",
    "number": "1861820169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 S BROAD ST",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444061606",
            "telephone_number": "330-397-7507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445021037",
            "telephone_number": "330-744-2991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHR",
        "first_name": "THERESA",
        "middle_name": "G",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-23",
        "last_updated": "2015-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I. 1502400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Bodo
• Sarah Bodo
• Chris John Boerio
• Mark Boggs
• Antonia Bogyi, M.D.
• Alycia Marshell Bolds
• Brant Andrew Bolen, CDCA
• Todd Bonar
• Jessica Bonetti
• Boniface Orthopaedics, Inc.

• Clinical Social Worker in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.