Active NPI
Therapeutic Associates
- Clinical Social Worker
- Boardman, OH
National Provider Identifier
1982128674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.1500779-SUPV
- Legal business name
- THERAPEUTIC ASSOCIATES
- Practice address
- 6960 Market St Ste 2
Boardman, OH 44512-4508 - Phone
- (330) 501-7821
- Fax
- (330) 953-3302
- NPI assigned
- Aug 3, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie Ann Caruso, LISW-S
- Title
- Owner
- Phone
- (330) 501-7821
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | E.0600050-SUPV | OH | |
| Clinical Social Worker | 1041C0700X | I.1500779-SUPV | OH | Primary |
Addresses
Primary practice location
6960 Market St Ste 2
Boardman, OH 44512-4508
Mailing address
6960 Market St Ste 2
Boardman, OH 44512-4508
Phone (330) 501-7821
National Provider Directory
National Provider DirectoryLocations
6960 Market St
Ste 2
Youngstown, OH 44512
Phone (330) 333-2208
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Youngstown, OH
- NPI 1588107346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501718400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1508716800000",
"number": "1982128674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6960 MARKET ST STE 2",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445124508",
"telephone_number": "330-501-7821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6960 MARKET ST STE 2",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445124508",
"telephone_number": "330-501-7821",
"fax_number": "330-953-3302"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERAPEUTIC ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-03",
"last_updated": "2017-10-23",
"status": "A",
"authorized_official_last_name": "CARUSO",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "330-501-7821",
"authorized_official_credential": "LISW-S"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E.0600050-SUPV",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.1500779-SUPV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boardman, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.