Teri Nugent Private Practice, LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

TERI NUGENT PRIVATE PRACTICE, LLC

Practice address

N6628 Metcalf Rd
Stone Lake, WI 54876-8817

Phone

(715) 558-5377

Fax

(715) 449-5475

NPI assigned

Nov 20, 2020

Last updated

Nov 20, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Teri L Nugent, LCSWNPI 1477806313

Title

Sole Practice/Owner

Phone

(715) 558-5377

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Teri Lynn Nugent, LCSW

  • Counselor
  • Stone Lake, WI
  • NPI 1477806313
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605830400000",
    "number": "1982207023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "STONE LAKE",
            "state": "WI",
            "postal_code": "548760188",
            "telephone_number": "715-558-5377",
            "fax_number": "715-449-5475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N6628 METCALF RD",
            "city": "STONE LAKE",
            "state": "WI",
            "postal_code": "548768817",
            "telephone_number": "715-558-5377",
            "fax_number": "715-449-5475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERI NUGENT PRIVATE PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A",
        "authorized_official_last_name": "NUGENT",
        "authorized_official_first_name": "TERI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SOLE PRACTICE/OWNER",
        "authorized_official_telephone_number": "715-558-5377",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakelife Integrative Health
• Marek DS Associates LTD
• Donald S Marek, R.PH.
• Teri Lynn Nugent, LCSW
• Amanda Snyder
• Michelle Marie Thrasher, COTA

• Social Worker in Stone Lake, WI
• Providers in Stone Lake, WI by specialty
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.