Theresa Jaquay Thurlow, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

122470 Issued in MA

Practice address

14 Cedar St Ste 212
Amesbury, MA 01913-1831

Phone

(978) 701-1565

NPI assigned

Nov 19, 2007

Last updated

Mar 8, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 1, 2021 through Jul 1, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1972784924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CEDAR ST STE 212",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019131831",
            "telephone_number": "978-701-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 CEDAR ST STE 212",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019131831",
            "telephone_number": "978-701-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURLOW",
        "first_name": "THERESA",
        "middle_name": "JAQUAY",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-19",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "122470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa A Tessier, AU.D., CCC-A
• The Millyard Health Collaborative, Inc.
• The Stop & Shop Supermarket Company LLC (Stop and Shop Pharmacy #499)
• Ann M Thibaud, PT
• Thrive: a Social Learning Community, LLC
• Sangeeta Annangi Tipirneni
• Alena C Tlucko, M.D.
• Maria E Tobias
• Jacqueline Todd
• Michelle M. Toland, PT

• Clinical Social Worker in Amesbury, MA
• Providers in Amesbury, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.