Individual provider Active NPI

Teresa A Garcia, LCSW

  • Clinical Social Worker
  • Wappingers Falls, NY
National Provider Identifier
1023769304
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P048702-1 Issued in NY
Practice address
4 Sylvia Dr
Wappingers Falls, NY 12590-4629
Phone
(646) 323-7398
Fax
(845) 345-0128
NPI assigned
Jan 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P048702-1 NY Primary

Addresses

Primary practice location

4 Sylvia Dr
Wappingers Falls, NY 12590-4629

Mailing address

4 Sylvia Dr
Wappingers Falls, NY 12590-4629
Phone (646) 323-7398

Other names 1

  • Ms. Teresa A Hernandez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220128000578 NY Practitioner - Clinical Social Worker 7416349287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Services, Inc.Group PAC ID 1658284542, 39 clinicians

Practice addresses (Care Compare)

20 Manchester Rd
Poughkeepsie, NY 12603-2596
Phone (845) 486-2703

29 N Hamilton
Poughkeepsie, NY 12601-2541

29 N Hamilton St
Poughkeepsie, NY 12601-2541
Phone 84548627031707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P048702-1NYMDClinical Social Worker
048702NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Services, Inc. Clinical CurrentSince Jan 1, 2022 Accepting new patients

Locations

29 N Hamilton St
Poughkeepsie, NY 12601
Phone (845) 452-1110

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1023769304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SYLVIA DR",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125904629",
            "telephone_number": "646-323-7398",
            "fax_number": "845-345-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SYLVIA DR",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125904629",
            "telephone_number": "646-323-7398",
            "fax_number": "845-345-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "TERESA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "P048702-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "HERNANDEZ",
            "middle_name": "A",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wappingers Falls, NY

Sources for this page

Verify at the official NPI Registry.