Individual provider Active NPI

Teresa Pica-Leruo, LCSW

  • Clinical Social Worker
  • Rye Brook, NY
National Provider Identifier
1356879589
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
074587 Issued in NY
Practice address
44 Avon Cir Apt C
Rye Brook, NY 10573-2011
Phone
(914) 708-0165
NPI assigned
Jun 1, 2017
Last updated
Jun 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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 074587 NY Primary

Addresses

Primary practice location

44 Avon Cir Apt C
Rye Brook, NY 10573-2011

Mailing address

44 Avon Cir Apt C
Rye Brook, NY 10573-2011
Phone (914) 708-0165

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
I20190319000864 NY Practitioner - Clinical Social Worker 2163762782 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carmel Psychological Health PCGroup PAC ID 4385530351, 222 clinicians

Practice addresses (Care Compare)

10 Pearl St
FL 2
Port Chester, NY 10573-4611
Phone (914) 265-2762

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
074587NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carmel Psychological Health, PC Clinical CurrentSince Jun 1, 2020 Accepting new patients
The Guidance Center of Westchester, Inc CurrentSince Feb 25, 2019 Accepting new patients
Hypnoscope Medical, PC PastSince Dec 13, 2010 Accepting new patients

Locations

667 Stoneleigh Ave
Ste 202
Carmel, NY 10512
Phone (845) 278-5223

256 Washington St
Ste 2
Mount Vernon, NY 10553
Phone 91461307003338

20 Sickles Ave
New Rochelle, NY 10801
Phone (914) 632-1374

10 Pearl St
#2
Port Chester, NY 10573
Phone (914) 265-2762

Interoperability endpoints

  • Direct secure messaging: cpa.teresapica@142175.advancedmd-direct.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1356879589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 AVON CIR APT C",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105732011",
            "telephone_number": "914-708-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 AVON CIR APT C",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105732011",
            "telephone_number": "914-708-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICA-LERUO",
        "first_name": "TERESA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-01",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "074587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye Brook, NY

Sources for this page

Verify at the official NPI Registry.