Active NPI
Teresa Marie Raposo, MSW,LICSW
- Clinical Social Worker
- Manchester, NH
National Provider Identifier
1508971888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 707
- Practice address
- 718 Smyth Rd
VA Medical Center (116)
Manchester, NH 03104-7004 - Phone
- (603) 624-4366
- Fax
- (603) 629-3244
- NPI assigned
- Aug 20, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 707 | NH | Primary |
| Clinical Social Worker | 1041C0700X | 1020771 | MA |
Addresses
Primary practice location
718 Smyth Rd
VA Medical Center (116)
Manchester, NH 03104-7004
Mailing address
718 Smyth Rd
VA Medical Center (116)
Manchester, NH 03104-7004
Phone (603) 624-4366
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 707 | NH | MD | Mental Health Counselor |
| 1020771 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508971888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "718 SMYTH RD",
"address_2": "VA MEDICAL CENTER (116)",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031047004",
"telephone_number": "603-624-4366",
"fax_number": "603-629-3244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 SMYTH RD",
"address_2": "VA MEDICAL CENTER (116)",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031047004",
"telephone_number": "603-624-4366",
"fax_number": "603-629-3244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAPOSO",
"first_name": "TERESA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MSW,LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NH",
"license": "707",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1020771",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.