Provider Demographics
NPI:1346747540
Name:HYPSE, THERESA ROSE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:THERESA
Middle Name:ROSE
Last Name:HYPSE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2095 GOODMAN LAKE RD
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-7074
Mailing Address - Country:US
Mailing Address - Phone:828-202-6945
Mailing Address - Fax:
Practice Address - Street 1:2095 GOODMAN LAKE RD
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-7074
Practice Address - Country:US
Practice Address - Phone:828-448-7797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-12
Last Update Date:2018-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0107541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical