MS. KRISTINE JOY THORESEN (NPI# 1972643971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972643971 |
| Entity Type | Individual |
| Full Name | MS. KRISTINE JOY THORESEN |
| Credential | LICSW, DCSW |
| Practice Address |
275 Millway Barnstable MA 02630-1102 |
| Mailing Address |
275 Millway P.o. Box 312 Barnstable MA 02630-1102 |
| Practice Telephone | 5083624416 |
| Mailing Telephone | 5083624416 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
1015859 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | MBHP PROVIDER NUMBER | 1891910 | 01 |
| MA | VALUE OPTIONS PROVIDER # | 008278 | 01 |
| MA | MAGELLAN PROVIDER NUMBER | 358812 | 01 |
| MA | PACIFIC CARE PROVIDER # | 007775 | 01 |
| MA | TUFTS PROVIDER NUMBER | 760845 | 01 |
| MA | BC BS PROVIDER NUMBER | PO4675 | 01 |
| Street Address |
275 MILLWAY |
| City | BARNSTABLE |
| State | MA |
| Zip Code | 02630-1102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285624510 | Peter G Derosa | Psychiatry & Neurology | 275 Millway, Barnstable, MA 02630-1102 | 2005-10-27 |
| 1285248013 | Healing Harbor Psychotherapy LLC | Counselor | 275 Millway, Barnstable, MA 02630-1102 | 2020-08-31 |
| 1962939348 | Denise Egan Stack | Counselor | 275 Millway, Barnstable, MA 02630-1102 | 2017-05-17 |
| 1831465087 | Tiara A Slaughter, Phd, PC | Psychologist | 275 Millway, Barnstable, MA 02630-1102 | 2012-03-31 |
| 1508160672 | Lotus Heart Center, PC | Counselor | 275 Millway, Barnstable, MA 02630-1102 | 2011-01-05 |
| 1437335825 | Speech-language Pathology Assoicates of Cape Cod LLC | Speech-Language Pathologist | 275 Millway, 2nd Floor, Barnstable, MA 02630 | 2008-01-15 |
| 1417167412 | Stacie Lenore Hitchcock | Psychiatry & Neurology | 275 Millway, Barnstable, MA 02630-1102 | 2007-05-22 |
| 1851519441 | William Xavier Kelly | Counselor | 275 Millway, Barnstable, MA 02630-1102 | 2007-04-22 |
| 1922165398 | Kelly M Pike | Counselor | 275 Millway, Barnstable, MA 02630-1102 | 2007-01-03 |
| 1023175171 | Susan Mary Botello | Social Worker | 275 Millway, Barnstable, MA 02630-1102 | 2007-01-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346452968 | Aimee Theresa Facchini | Social Worker | 3179 Main St, Unit 3, Barnstable, MA 02630 | 2007-05-04 |
| 1700932183 | Katie Anne Van Leeuwen | Counselor | 3195 Main Street, Barnstable, MA 02630 | 2007-01-26 |
| 1578551339 | Neil L Ringler | Dentist | 2260 Main Street, Barnstable, MA 02630 | 2005-10-06 |
| 1972599744 | Herbert Odell Mathewson | Pediatrics | 2971 Main St., Barnstable, MA 02630 | 2005-09-27 |
| 1699331843 | Harris Dental Barnstable, LLC | Dentist | 2260 Main Street, Barnstable, MA 02630 | 2019-05-14 |
| 1952578791 | Kathleen D Ecker | Nurse Practitioner | 206 Breeds Hill Rd, Hyannis, MA 02630 | 2008-05-12 |
| 1912441262 | Thomas Mcdonald | Pharmacist | 2 Bow Lane, Barnstable, MA 02630-0952 | 2016-12-06 |
| 1861513004 | Mark M Belkin | Radiology | 73 Harris Meadows Ln, Barnstable, MA 02630-1008 | 2007-04-03 |
| 1952443517 | W. Alan Clinger | Psychiatry & Neurology | 30 Harris Meadows Ln, Barnstable, MA 02630-1009 | 2007-02-12 |
| 1437133204 | Michael Loren Perlmutter | Radiology | 13 Matthias Ln, Barnstable, MA 02630-1010 | 2005-12-05 |
| Find all providers in zip 02630 | ||||
| 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 |
|---|---|---|---|---|
| 1558843177 | Cathy Pastva | Social Worker | 1357 Mary Dunn Rd, Barnstable, MA 02630-1810 | 2018-08-30 |
| 1023175171 | Susan Mary Botello | Social Worker | 275 Millway, Barnstable, MA 02630-1102 | 2007-01-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417189 | Paula Mcmurrough | Social Worker | 91 Cumberland Ave, Attleboro, MA 02703-5602 | 2020-11-04 |
| 1538760707 | New England Cognitive Behavior Therapy Group Pllc | Social Worker | 57 Wells Ave Ste 1, Newton, MA 02459-3263 | 2020-11-04 |
| 1306446034 | Enact Health LLC | Social Worker | 221 Saint Mary St Unit 2, Needham, MA 02494-3165 | 2020-10-30 |
| 1265032189 | Pamela Killen | Social Worker | 63 Vestal St, Nantucket, MA 02554-2628 | 2020-10-29 |
| 1649870734 | Leeann Wojnowski Horner | Social Worker | 125 Winter St, Lincoln, MA 01773-3501 | 2020-10-28 |
| 1760082945 | Natalie Pierpont Waggaman | Social Worker | 34 Hamilton Rd, Waltham, MA 02453-1516 | 2020-10-28 |
| 1245830454 | Hope F. Schroy | Social Worker | 52 Cottage St, Wellesley, MA 02482 | 2020-10-27 |
| 1720688070 | Anne Marie Kaminski | Social Worker | 83 Wheelock Rd, C/o Anne Kaminski, Sutton, MA 01590-2431 | 2020-10-27 |
| 1245830488 | Authentic Care Counseling LLC | Social Worker | 935 Great Plain Ave # 296, Needham, MA 02492-3031 | 2020-10-27 |
| 1831799261 | Faran Asen | Social Worker | 664a Main St, Amherst, MA 01002-2440 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
| City | BARNSTABLE |
| Zip Code | 02630 |
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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.