Individual provider Active NPI

Teresa Bina Zaffiro, LICSW

  • Clinical Social Worker
  • New Hope, MN
National Provider Identifier
1508710864
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
29123 Issued in MN
Practice address
4900 Highway 169 N # 220
New Hope, MN 55428-4058
Phone
(612) 217-0084
NPI assigned
Feb 24, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 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 29123 MN Primary

Addresses

Primary practice location

4900 Highway 169 N # 220
New Hope, MN 55428-4058

Mailing address

657 Oakdale Ave
Saint Paul, MN 55107-3057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20260427001878 MN Practitioner - Clinical Social Worker 1951878081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4900 Hwy 169 N
Suite 220
New Hope, MN 55428-4058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lineage Counseling CurrentSince Apr 1, 2026 Accepting new patients

Locations

4900 Highway 169 N
Ste 220
New Hope, MN 55428
Phone (612) 217-0084

Organizations & group practices 1

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": "1771891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1508710864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 OAKDALE AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551073057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 HIGHWAY 169 N # 220",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554284058",
            "telephone_number": "612-217-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAFFIRO",
        "first_name": "TERESA",
        "middle_name": "BINA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-24",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "29123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hope, MN

Sources for this page

Verify at the official NPI Registry.