Active NPI
Teresa A Garcia, LCSW
- Clinical Social Worker
- Wappingers Falls, NY
National Provider Identifier
1023769304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P048702-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
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
| License | State | Type | Specialty |
|---|---|---|---|
| P048702-1 | NY | MD | Clinical Social Worker |
| 048702 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Services, Inc. | Clinical | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Poughkeepsie, NY
- NPI 1316939457
Clinical, NY
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.