Individual provider Active NPI

Teresa Meadows, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1689025074
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
086325 Issued in NY
Practice address
689 Sackman St
Brooklyn, NY 11212-7111
Phone
(347) 992-5859
NPI assigned
Jun 27, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 095147-1 NY
Clinical Social Worker 1041C0700X 44SC0633040 NJ
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 086325 NY Primary

Addresses

Primary practice location

689 Sackman St
Brooklyn, NY 11212-7111

Mailing address

689 Sackman St
Brooklyn, NY 11212-7111
Phone (347) 992-5859

Other practice location 1

134 N 4th St
Brooklyn, NY 11249-3296
Phone (646) 450-7748

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20180611000077 NY Practitioner - Clinical Social Worker 7214282557 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
095147-1NYMDSocial Worker
44SC0633040NJMDClinical Social Worker
086325NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Zone IV LLC Clinical Current Accepting new patients
Valera Medical, P.C. Social Worker CurrentSince Dec 1, 2023 Accepting new patients
Teresa Meadows, LLC Clinical Past Accepting new patients

Locations

134 N 4th St
Brooklyn, NY 11249

139 Centre St
Ste 824
New York, NY 10013
Phone (646) 450-7751

Organizations & group practices 3

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": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1689025074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "689 SACKMAN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112127111",
            "telephone_number": "347-992-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "689 SACKMAN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112127111",
            "telephone_number": "347-992-5859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "134 N 4th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112493296",
            "country_code": "US",
            "telephone_number": "646-450-7748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEADOWS",
        "first_name": "TERESA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "095147-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC0633040",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.