Individual provider Active NPI

Terese Quattro Cook

  • Clinical Social Worker
  • Torrington, CT
National Provider Identifier
1649313834
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
003332 Issued in CT
Practice address
540 Litchfield St
C/O: Irene Benza
Torrington, CT 06790-6679
Phone
(860) 496-6361
Fax
(860) 496-6389
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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 003332 CT Primary

Addresses

Primary practice location

540 Litchfield St
C/O: Irene Benza
Torrington, CT 06790-6679

Mailing address

540 Litchfield St
C/O Irene Benza
Torrington, CT 06790-6679
Phone (860) 496-6361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20110125000840 CT Practitioner - Clinical Social Worker 8426237264 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cornerstone Counseling CenterGroup PAC ID 7618239393, 17 clinicians

Practice addresses (Care Compare)

966 S Main St
Plantsville, CT 06479-1645
Phone (860) 384-7056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003332CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Counseling Center Clinical CurrentSince Dec 1, 2024 Accepting new patients
Harvest Healthcare LLC Clinical CurrentSince Jun 28, 2018 Accepting new patients

Locations

21 Waterville Rd
Avon, CT 06001
Phone (860) 284-0182

966 S Main St
Plantsville, CT 06479
Phone (860) 736-5386

92 N Summit St
Southington, CT 06489
Phone (860) 266-6098

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1649313834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 LITCHFIELD ST",
            "address_2": "C/O IRENE BENZA",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906679",
            "telephone_number": "860-496-6361",
            "fax_number": "860-496-6389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 LITCHFIELD ST",
            "address_2": "C/O: IRENE BENZA",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906679",
            "telephone_number": "860-496-6361",
            "fax_number": "860-496-6389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUATTRO COOK",
        "first_name": "TERESE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "003332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

Verify at the official NPI Registry.