Active NPI
Teresia Hopson, LCSW
- Clinical Social Worker
- Mishawaka, IN
National Provider Identifier
1467441303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34004883A
- Practice address
- 323 W 4TH St
Mishawaka, IN 46544-1913 - Phone
- (574) 256-7006
- Fax
- (574) 256-2266
- NPI assigned
- Oct 13, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34004883A | IN | Primary |
Addresses
Primary practice location
323 W 4TH St
Mishawaka, IN 46544-1913
Mailing address
PO Box 1171
South Bend, IN 46624-1171
Phone (574) 226-2934
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000320433 | Other | IN | ANTHEM |
Other names 1
- Teresia Newton
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34004883A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avalon Counseling & Consultation | Past | Accepting new patients | |
| Michael L Rupley PHD PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Social Worker
- Mishawaka, IN
- NPI 1922059492
-
dba Michiana Psychological Associates
- Psychologist
- Mishawaka, IN
- NPI 1679741235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405987200000",
"number": "1467441303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1171",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466241171",
"telephone_number": "574-226-2934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 W 4TH ST",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465441913",
"telephone_number": "574-256-7006",
"fax_number": "574-256-2266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOPSON",
"first_name": "TERESIA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-13",
"last_updated": "2014-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34004883A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000320433",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TERESIA",
"last_name": "NEWTON",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Mishawaka, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.