Individual provider Active NPI

Teresa Elaine Wren, LMSW

  • Social Worker
  • Thornton, CO
National Provider Identifier
1932357175
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
2148M Issued in AR
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

Updated by the provider on Mar 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180501001526 AR Practitioner - Clinical Social Worker 2567726490 Reassigns benefits to 1 organization
Practice locations: Bentonville, AR

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

LicenseStateTypeSpecialty
2148MARMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
PT Concepts, PLLC CurrentSince Apr 1, 2018 Accepting new patients
My Therapy LLC PastSince Nov 8, 2025 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.

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

Verify at the official NPI Registry.