Wind River Therapy Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7331-C Issued in AR

Legal business name

WIND RIVER THERAPY SERVICES, LLC

Practice address

14710 Cantrell Rd Ste 7
Little Rock, AR 72223-4258

Phone

(501) 454-5697

NPI assigned

Jul 11, 2018

Organization subpart

No

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

Authorized official

Name

Therese Marie Skinner, LCSWNPI 1831554245

Title

Clinical Therapist/Director

Phone

(501) 454-5697

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Therese Marie Skinner, LCSW

  • Social Worker
  • Little Rock, AR
  • NPI 1831554245
  NPD Authorized official

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1922584184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250058",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722250058",
            "telephone_number": "501-454-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14710 CANTRELL RD STE 7",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722234258",
            "telephone_number": "501-454-5697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 S Pulaski St",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722011926",
            "country_code": "US",
            "telephone_number": "501-454-5697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WIND RIVER THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-07-11",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "THERESE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CLINICAL THERAPIST/DIRECTOR",
        "authorized_official_telephone_number": "501-454-5697",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "7331-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tony Wayne Wilson
• Tracy M Wilson, OT
• Treasure Wilson
• Wendy Sands Wilson, LCSW
• Ashley T Winch, M.S.
• Tracy Winder, MS, RD/LD, CNSC
• Tracy T Windham, DDS
• Julie M Windholz, M.D.
• Ze'Ann Windle
• Mallory Wine, CF, SLP

• Clinical Social Worker in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; 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.