Organization Active NPI

Clinical Therapeutic Support LCSW PC

Doing business as Eating Disorder and Mental Health Recovery Specialists

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1922879584
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CLINICAL THERAPEUTIC SUPPORT LCSW PC
Doing business as
Eating Disorder and Mental Health Recovery Specialists
Practice address
110 16TH St Ste 1400
Denver, CO 80202-5275
Phone
(866) 525-2766
NPI assigned
Jan 12, 2024
Last updated
Jan 12, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
CLINICAL THERAPEUTIC SUPPORT, LCSW PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Authorized official

Name
Greta Marie Gleissner, LCSWNPI 1881928539
Title
Ownder
Phone
(866) 525-2766

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

110 16TH St Ste 1400
Denver, CO 80202-5275

Mailing address

459 Columbus Ave Ste 124
New York, NY 10024-5129
Phone (917) 373-4557

Other names 1

  • Eating Disorder and Mental Health Recovery Specialists Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Clinical Therapeutic Support LCSW PC3 organizations share this tax ID, including this one
Part of
Clinical Therapeutic Support LCSW PC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1922879584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 COLUMBUS AVE STE 124",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100245129",
            "telephone_number": "917-373-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 16TH ST STE 1400",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802025275",
            "telephone_number": "866-525-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL THERAPEUTIC SUPPORT LCSW PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLINICAL THERAPEUTIC SUPPORT, LCSW PC",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "GLEISSNER",
        "authorized_official_first_name": "GRETA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNDER",
        "authorized_official_telephone_number": "866-525-2766",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eating Disorder and Mental Health Recovery Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.