Theresa Marie Spinello, PH.D., DCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

040023-1 Issued in NY

Practice address

34 Forest Ave
Glen Cove, NY 11542-2111

Phone

(516) 674-8258

Fax

(516) 674-8258

NPI assigned

Jan 3, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2023 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Robert Appel, MD

  • Durable Medical Equipment & Medical Supplies
  • Glen Cove, NY
  • NPI 1114100815
  NPD (past)
• Sallyann Ricciardi, LCSW-R,PC

  • Clinical Social Worker
  • Locust Valley, NY
  • NPI 1952851164
  NPD (past)
• Sight Medical Doctors PLLC

  dba SightMD NY

  • Durable Medical Equipment & Medical Supplies
  • Johnson City, NY
  • NPI 1730040700
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568519775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 SHERWOOD RD",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115421519",
            "telephone_number": "516-676-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 FOREST AVE",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422111",
            "telephone_number": "516-674-8258",
            "fax_number": "516-674-8258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPINELLO",
        "first_name": "THERESA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D., DCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "040023-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01601014",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI NY",
            "identifier": "6885390",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "4488427",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1040630",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sparacio Physical Therapy P.C.
• Sophia Specht, RN
• Roy Martin Speiser, D.C.
• Celeste Spencer-Holmes
• Dana Sperber, LCSW
• Christina Spitzer, M.D.
• Kyra Sposato, MS, NP
• Silvana St Onge, LMSW
• Anne-Marie Starr, MD
• Abraham Stein, D.D.S.

• Clinical Social Worker in Glen Cove, NY
• Providers in Glen Cove, NY by specialty
• Clinical Social Worker in New York

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.