Kristine Joy Thoresen, LICSW, DCSW
Individual provider Active NPI Clinical Social Worker · Barnstable, MA
NPI 1972643971 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1972643971
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 1015859 (MA)
- Practice address
- 275 Millway
Barnstable, MA 02630-1102 - Phone
- (508) 362-4416
- NPI assigned
- Feb 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1015859 | MA | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007775 | Other | MA | PACIFIC CARE PROVIDER # |
| 760845 | Other | MA | TUFTS PROVIDER NUMBER |
| PO4675 | Other | MA | BC BS PROVIDER NUMBER |
| 008278 | Other | MA | VALUE OPTIONS PROVIDER # |
| 1891910 | Other | MA | MBHP PROVIDER NUMBER |
| 358812 | Other | MA | MAGELLAN PROVIDER NUMBER |
Other providers in Barnstable, MA
- Madelyn Victoria Schuh
- Soo Ok Song
- Speech-Language Pathology Assoicates of Cape Cod LLC
- Denise Egan Stack
- Rosebelle Tenaglia
- Tiara a Slaughter, PHD, PC
- Lauren Tyson
- Katie Anne Van Leeuwen
- Vanguard Mental Health
- Wildflower Intuitive Counseling LLC
All providers in Barnstable, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.