Individual provider Active NPI

Teresa M Quint, LICSW

  • Clinical Social Worker
  • Newmarket, NH
National Provider Identifier
1073188504
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1660 Issued in NH
Practice address
207 S Main St
Newmarket, NH 03857-1835
Phone
(603) 659-2494
Fax
(603) 659-5892
NPI assigned
May 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 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 1660 NH Primary

Addresses

Primary practice location

207 S Main St
Newmarket, NH 03857-1835

Mailing address

207 S Main St
Newmarket, NH 03857-1835
Phone (603) 659-2494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20210826001428 NH Practitioner - Clinical Social Worker 3971908179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wentworth Douglass Physician Corporation 429 clinicians

Practice addresses (Care Compare)

10 Members Way 5TH Floor
WHP Internal Medicine
Dover, NH 03820-5933
Phone (603) 609-6800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1660NHMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wentworth Douglass Hospital Current Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Oct 28, 2021 Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Oct 28, 2021 Accepting new patients
Wentworth Douglass Physician Corporation Current Accepting new patients

Locations

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

10 Members Way
Ste 5
Dover, NH 03820

15 Old Rollinsford Rd
Ste 302
Dover, NH 03820
Phone 6036096690 ext. 7976

10 Members Way
Fl 5
Dover, NH 03820
Phone (603) 609-6800

750 Central Ave
Ste Q
Dover, NH 03820
Phone (603) 742-6030

36 Madbury Rd
Durham, NH 03824
Phone (603) 659-0901

Interoperability endpoints

  • Direct secure messaging: quint.teresa.wdh@direct.partners.masshiway.net

Organizations & group practices 4

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": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1073188504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 S MAIN ST",
            "city": "NEWMARKET",
            "state": "NH",
            "postal_code": "038571835",
            "telephone_number": "603-659-2494",
            "fax_number": "603-659-5892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 S MAIN ST",
            "city": "NEWMARKET",
            "state": "NH",
            "postal_code": "038571835",
            "telephone_number": "603-659-2494",
            "fax_number": "603-659-5892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINT",
        "first_name": "TERESA",
        "middle_name": "M",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newmarket, NH

Sources for this page

Verify at the official NPI Registry.