MS. THERISA J KREILEIN LCSW ACSW NPI 1942279427

NPI Information

NPI: 1942279427
Provider Name: MS. THERISA J KREILEIN, LCSW ACSW
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

Address:
305 EAST WALNUT ST.
SALEM, IN
ZIP 47167
Phone: (812) 883-5274
Get Directions

MS. Therisa J Kreilein, LCSW ACSW is a clinical psychologist in Salem, IN. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. MS. Therisa J Kreilein, LCSW ACSW NPI is 1942279427. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

305 EAST WALNUT ST.
SALEM, IN
ZIP 47167-659
Phone: (812) 883-5274
Fax: (812) 883-5274

The enumeration date for this NPI number is 3/16/2006 and was last updated on 11/17/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041C0700X	Social Worker	Clinical	34000140A	INDIANA	No
2	1041C0700X	Social Worker	Clinical	412	KENTUCKY	No
3	106H00000X	Marriage & Family Therapist		0343	KENTUCKY	No
4	103TC0700X	Psychologist	Clinical	34000140A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	890800	MEDICARE PIN	INDIANA
2	890800	MEDICARE ID-TYPE UNSPECIFIED	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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