Active NPI
Teresa Elaine Wren, LMSW
- Social Worker
- Thornton, CO
National Provider Identifier
1932357175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 2148M
- Practice address
- 1988 E 100TH PL
Thornton, CO 80229-3962 - Phone
- (479) 372-1077
- NPI assigned
- Aug 29, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 2148M | AR | Primary |
Addresses
Primary practice location
1988 E 100TH PL
Thornton, CO 80229-3962
Mailing address
8889 Fox Dr Ste B
Thornton, CO 80260-8842
Phone (479) 372-1077
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
307 SW 18TH St
Suite 3
Bentonville, AR 72712-8478
Phone (479) 372-1077
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2148M | AR | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PT Concepts, PLLC | Current | Accepting new patients | |
| My Therapy LLC | Past | Accepting new patients |
Locations
1200 W Walnut St
Ste 3101
Rogers, AR 72756
Phone (479) 621-0301
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Rogers, AR
- NPI 1164931291
-
- Mental Health Counselor
- Rogers, AR
- NPI 1598633091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268006400000",
"number": "1932357175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8889 FOX DR STE B",
"city": "THORNTON",
"state": "CO",
"postal_code": "802608842",
"telephone_number": "479-372-1077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1988 E 100TH PL",
"city": "THORNTON",
"state": "CO",
"postal_code": "802293962",
"telephone_number": "479-372-1077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WREN",
"first_name": "TERESA",
"middle_name": "ELAINE",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-29",
"last_updated": "2010-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AR",
"license": "2148M",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thornton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; 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.