MS. LAURIE L. THEODOROU (NPI# 1427386630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427386630 |
| Entity Type | Individual |
| Full Name | MS. LAURIE L. THEODOROU |
| Credential | LCSW |
| Practice Address |
724 S Central Ave Suite 214 Medford OR 97501-7851 |
| Practice Telephone | 5418587916 |
| Mailing Telephone | 5418587916 |
| Enumeration Date | 2009-11-28 |
| Last Update Date | 2009-11-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
L3373 | OR | Behavioral Health & Social Service Providers |
| Street Address |
724 S CENTRAL AVE SUITE 214 |
| City | MEDFORD |
| State | OR |
| Zip Code | 97501-7851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528297843 | Advanced Respiratory Diagnostic | Respiratory Therapist, Registered | 724 S Central Ave, Suite 114, Medford, OR 97501-7851 | 2009-07-08 |
| 1619408580 | Rhiannon Theurer Lmft | Community/Behavioral Health | 724 S Central Ave, Ste 209, Medford, OR 97501-7851 | 2017-03-23 |
| 1073050241 | Ryder Johanson, L.ac. | Acupuncturist | 724 S Central Ave, Ste. 209, Medford, OR 97501-7851 | 2017-01-26 |
| 1356883102 | Ryder Vytautas Kardokas-johanson | Acupuncturist | 724 S Central Ave, Suite 209, Medford, OR 97501-7851 | 2016-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366069494 | Brian Snapp | Counselor | 1191 Hazel St, Medford, OR 97501 | 2020-07-06 |
| 1477174761 | Corey Renfree | Counselor | 1191 Hazel Street, Medford, OR 97501 | 2020-04-28 |
| 1669012928 | One of A Kind Therapy LLC | Social Worker | 916 West 10th St #205, Medford, OR 97501 | 2020-01-14 |
| 1265993620 | Star Dialysis LLC | Clinic/Center | 50 Rossanley Dr, Medford, OR 97501 | 2019-03-28 |
| 1962972463 | Karen Elise Roertgen | Counselor | 328 So. Central Ave., Suite 204, Medford, OR 97501 | 2018-11-28 |
| 1316458813 | Rick's Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 562 Parsons Drive, Suite 114, Medford, OR 97501 | 2017-10-24 |
| 1750807111 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 821 N Riverside Ave, Medford, OR 97501 | 2017-08-17 |
| 1992229009 | Cassandra Schultz | Massage Therapist | 824 East Jackson, Suite A, Medford, OR 97501 | 2017-07-31 |
| 1972962355 | Robin Clevenger | Peer Specialist | 301 S Ivy St, Medford, OR 97501 | 2016-02-15 |
| 1154706984 | Debbie Diane Orr | Behavioral Analyst | 1024 West 9th Street, Medford, OR 97501 | 2015-07-22 |
| Find all providers in zip 97501 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669012928 | One of A Kind Therapy LLC | Social Worker | 916 West 10th St #205, Medford, OR 97501 | 2020-01-14 |
| 1962053348 | Monica Lorraine Schlie | Social Worker | 18 Forrest Ave, Medford, NY 11763-2609 | 2019-09-26 |
| 1578129623 | Patricia M Sullivan | Social Worker | 29 Welgate Rd, Medford, MA 02155-2150 | 2019-05-14 |
| 1013483841 | Howard David Harris | Social Worker | 259 Park St - Apt. 2, Medford, MA 02155-2666 | 2018-10-19 |
| 1871078469 | Lorraine Lafata | Social Worker | 14 Kilsyth Rd Fl 1, Medford, MA 02155-6522 | 2018-09-28 |
| 1487138509 | Dava Davainis | Social Worker | 76 Newbern Avenue, Apt. 1, Medford, MA 02155 | 2018-09-25 |
| 1184108292 | Nancy Ann Woodfork | Social Worker | 3600 Mystic Valley Pkwy Apt W315, Medford, MA 02155-5741 | 2018-09-24 |
| 1295218758 | Julia Dennon Wise | Social Worker | 17 Wyman St, Medford, MA 02155-3401 | 2018-09-11 |
| 1871075739 | Janice Madeline Cole | Social Worker | 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 | 2018-09-06 |
| 1932680840 | Shreya Bansal | Social Worker | 3920 Mystic Valley Pkwy Apt 602, Medford, MA 02155-6907 | 2018-08-28 |
| Find all providers in MEDFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.