Theresa Faith Braden-Horstman, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801078799 Issued in MI

Practice address

215 N Water St
Ste 139
Owosso, MI 48867-2807

Phone

(989) 720-4510

NPI assigned

Apr 4, 2007

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• A Collective Counseling Lifeline, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Owosso, MI
  • NPI 1437721420
  NPD Authorized official
• Grace Lifeline Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Owosso, MI
  • NPI 1043139678
  NPD (past) Authorized official

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625961600000",
    "number": "1982726469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 WILGUS RD",
            "city": "WILLIAMSTON",
            "state": "MI",
            "postal_code": "488959638",
            "telephone_number": "517-655-6961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N WATER ST",
            "address_2": "STE 139",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672807",
            "telephone_number": "989-720-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADEN-HORSTMAN",
        "first_name": "THERESA",
        "middle_name": "FAITH",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2021-07-11",
        "certification_date": "2021-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801078799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Wachter Boucha, LMSW
• Cassondra Boulis
• Jonathon Boulis
• Alison Marie Bowers, NURSE PRACTITIONER
• Scott E Boyd, PA-C
• Gary L Branch, DO
• Rebecca Leigh Brant, SLP
• Erin Brawner, LLMSW
• Kristen Breaks, M.A., BCBA, LBA
• Lisa Brimmer

• Clinical Social Worker in Owosso, MI
• Providers in Owosso, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.