Active NPI
Kristine Joy Thoresen, LICSW, DCSW
- Clinical Social Worker
- Barnstable, MA
National Provider Identifier
1972643971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1015859
- Practice address
- 275 Millway
Barnstable, MA 02630-1102 - Phone
- (508) 362-4416
- NPI assigned
- Feb 7, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1015859 | MA | Primary |
Addresses
Primary practice location
275 Millway
Barnstable, MA 02630-1102
Mailing address
275 Millway
P.O. Box 312
Barnstable, MA 02630-1102
Phone (508) 362-4416
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 358812 | Other | MA | MAGELLAN PROVIDER NUMBER |
| 1891910 | Other | MA | MBHP PROVIDER NUMBER |
| 760845 | Other | MA | TUFTS PROVIDER NUMBER |
| 007775 | Other | MA | PACIFIC CARE PROVIDER # |
| 008278 | Other | MA | VALUE OPTIONS PROVIDER # |
| PO4675 | Other | MA | BC BS PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972643971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 MILLWAY",
"address_2": "P.O. BOX 312",
"city": "BARNSTABLE",
"state": "MA",
"postal_code": "026301102",
"telephone_number": "508-362-4416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 MILLWAY",
"city": "BARNSTABLE",
"state": "MA",
"postal_code": "026301102",
"telephone_number": "508-362-4416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORESEN",
"first_name": "KRISTINE",
"middle_name": "JOY",
"name_prefix": "Ms.",
"credential": "LICSW, DCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1015859",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN PROVIDER NUMBER",
"identifier": "358812",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MBHP PROVIDER NUMBER",
"identifier": "1891910",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS PROVIDER NUMBER",
"identifier": "760845",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFIC CARE PROVIDER #",
"identifier": "007775",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS PROVIDER #",
"identifier": "008278",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS PROVIDER NUMBER",
"identifier": "PO4675",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Barnstable, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.