Active NPI
Teresa M Rafferty, LICSW, PH.D.
- Mental Health Counselor
- Worcester, MA
National Provider Identifier
1215981204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MA106303
- Practice address
- 29 Forest St
Worcester, MA 01609-1729 - Phone
- (508) 752-3009
- Fax
- (508) 791-1195
- NPI assigned
- May 22, 2006
- Last updated
- Jul 13, 2026
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MA106303 | MA | Primary |
Addresses
Primary practice location
29 Forest St
Worcester, MA 01609-1729
Mailing address
29 Forest St
Worcester, MA 01609-1729
Phone (508) 752-3009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA106303 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1215981204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 FOREST ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016091729",
"telephone_number": "508-752-3009",
"fax_number": "508-791-1195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 FOREST ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016091729",
"telephone_number": "508-752-3009",
"fax_number": "508-791-1195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAFFERTY",
"first_name": "TERESA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "LICSW, PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-22",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "MA106303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.