National Provider Identifier
Theresa Marie Houck, LICENSED CLINICAL SO
Theresa Marie Houck, LICENSED CLINICAL SO is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Horseheads, NY and a listed phone number of (607) 936-1771.
Profile Overview
- NPI
- 1437721107
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- July 13, 2021
- Last Updated
- January 25, 2024
Practice Location
- 111 South Main Street
- Horseheads, NY 14845-2462
Phone: (607) 936-1771
Mailing Address
- 77 East 1St Street
- Corning, NY 14830
Specialties
- Clinical Social Worker (1041C0700X)
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1437721107
- Entity Type
- Individual
- Last Name
- Houck
- First Name
- Theresa
- Middle Name
- Marie
- Name Prefix
- Mrs.
- Credential
- LICENSED CLINICAL SO
- Mailing Street Address
- 77 East 1St Street
- Mailing City
- Corning
- Mailing State
- NY
- Mailing ZIP Code
- 14830
- Mailing Country
- US
- Mailing Phone
- (607) 936-1771
- Mailing Fax
- (607) 936-2648
- Practice Street Address
- 111 South Main Street
- Practice City
- Horseheads
- Practice State
- NY
- Practice ZIP Code
- 14845-2462
- Practice Country
- US
- Practice Phone
- (607) 936-1771
- Practice Fax
- (607) 936-2648
- Enumeration Date
- July 13, 2021
- Last Updated
- January 25, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- July 13, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X), Clinical Social Worker (1041C0700X)