Organization Active NPI

Therapeutic Associates

  • Clinical Social Worker
  • Boardman, OH
National Provider Identifier
1982128674
Registry record updated Oct 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1500779-SUPV Issued in OH
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

Updated by the provider on Oct 23, 2017

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X E.0600050-SUPV OH
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.