Teresa Dawn Veverka, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L18196 Issued in OR

Practice address

2855 NW Crossing Dr Ste 202
Bend, OR 97703-7049

Phone

(541) 722-8854

NPI assigned

Jan 20, 2012

Last updated

Aug 24, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Teresa Bullock Veverka Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Shoreline Counseling LLC

  • Clinical Social Worker
  • Astoria, OR
  • NPI 1437548807
  NPD (past)

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1255602330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5441 S MACADAM AVE STE R",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393822",
            "telephone_number": "541-722-8854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 NW CROSSING DR STE 202",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977037049",
            "telephone_number": "541-722-8854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEVERKA",
        "first_name": "TERESA",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-20",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L18196",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OR",
            "license": "A4507",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "VEVERKA",
            "middle_name": "BULLOCK",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Vermost, PT, DPT
• Peri Rose Vernon, CNM
• Loni Verzuh, PMHNP
• Bryant Vette
• Anna Veverka
• Ivan Nicolas Vial, MD
• Alicia Viani, LCSW
• Robin Kay Vickery, LCSW
• Victory Chiropractic
• Viewpoint Therapy

• Clinical Social Worker in Bend, OR
• Providers in Bend, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.