Terese Elaine Resh, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LCS 11137 Issued in CA

Practice address

705 Pine St
Mount Shasta, CA 96067-2133

Phone

(530) 926-5056

Fax

(530) 926-5056

NPI assigned

Dec 11, 2006

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

Other identifiers 2

Other names 1

• Teri Resh Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357776000000",
    "number": "1942360250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 PINE ST",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960672133",
            "telephone_number": "530-926-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 PINE ST",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960672133",
            "telephone_number": "530-926-5056",
            "fax_number": "530-926-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESH",
        "first_name": "TERESE",
        "middle_name": "ELAINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2013-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "LCS 11137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "LCS11137",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHM53881F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERI",
            "last_name": "RESH",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christopher Jones Rackoff, MD
• Janet Lee Rainville, LCSW
• Erin Reed
• Amanda Leanne Reiber
• Erika Rein
• Revive Medical Group Ca PC
• G. Blair Rhodes, MFT
• Maribeth Ribb
• Richard Ingle MD Inc
• Peggy Rene Risch, RPT

• Social Worker in Mount Shasta, CA
• Providers in Mount Shasta, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; 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.