Theresa Iannetta, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

391 Varnum Ave
Lowell, MA 01854-2119

Phone

(978) 322-5160

NPI assigned

May 14, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Optum Behavioral Care of Connecticut, P.C.

  • Counseling Psychologist
  • Newburyport, MA
  • NPI 1831970904
  Medicare reassignment NPD
• Optum Behavioral Care of Connecticut, P.C.

  • Clinical Social Worker
  • Providence, RI
  • NPI 1730972944
  NPD
• Optum Behavioral Care of Delaware, Inc

  • Counseling Psychologist
  • Nashua, NH
  • NPI 1043083595
  NPD
• Optum Behavioral Care of Delaware, Inc.

  • Clinical Social Worker
  • Bedford, NH
  • NPI 1336932557
  NPD
• Optum Behavioral Care of Connecticut, P.C.

  • Counseling Psychologist
  • Woburn, MA
  • NPI 1205617370
  NPD (past)

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401926400000",
    "number": "1679919872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 VARNUM AVE",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018542119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 VARNUM AVE",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018542119",
            "telephone_number": "978-322-5160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IANNETTA",
        "first_name": "THERESA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-14",
        "last_updated": "2014-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Quoc Dung Huynh
• Ericka Marie Hyam
• Philip Hyde
• Brittany Hylander, PSYD
• Taylor-Alycia Hynes, NP
• Ideal Home Care Inc
• Igc II PLLC
• Igc III PLLC
• Igc IV PLLC
• Igc LLC

• Social Worker in Lowell, MA
• Providers in Lowell, MA by specialty
• Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.