Individual provider Active NPI

Teresa Deviney Vanheusen, LCSW-R

  • Clinical Social Worker
  • Cortland, NY
National Provider Identifier
1053641506
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R078850-1 Issued in NY
Practice address
7 Clayton Ave
Cortland, NY 13045-2501
Phone
(607) 428-5491
Fax
(607) 758-6116
NPI assigned
Jan 6, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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 R078850-1 NY Primary

Addresses

Primary practice location

7 Clayton Ave
Cortland, NY 13045-2501

Mailing address

7 Clayton Ave
Cortland, NY 13045-2501
Phone (607) 428-5491

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
I20110113000227 NY Practitioner - Clinical Social Worker 4183813777 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cortland County County TreasurerGroup PAC ID 3173427028, 17 clinicians

Practice addresses (Care Compare)

111 Port Watson St
Cortland, NY 13045-3185
Phone (607) 428-5461

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R078850-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cortland County County Treasurer Clinical Current Accepting new patients
Horizon House Clinical CurrentSince Oct 11, 2011 Accepting new patients
Cortland County Health Department Nursing Clinics CurrentSince Oct 11, 2011 Accepting new patients

Locations

7 Clayton Ave
Cortland, NY 13045
Phone (607) 758-6100

Interoperability endpoints

  • Direct secure messaging: tvanheusen@cortlandcountymentalhealth.medentdirect.com

Organizations & group practices 3

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": "1262736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1053641506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CLAYTON AVE",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130452501",
            "telephone_number": "607-428-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CLAYTON AVE",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130452501",
            "telephone_number": "607-428-5491",
            "fax_number": "607-758-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANHEUSEN",
        "first_name": "TERESA",
        "middle_name": "DEVINEY",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R078850-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortland, NY

Sources for this page

Verify at the official NPI Registry.