Active NPI
Teresa Alina Thierbecker, L.M.S.W.
- Social Worker
- Albany, NY
National Provider Identifier
1740438977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 077575-1
- Practice address
- 113 Holland Ave
Albany, NY 12208-3410 - Phone
- (518) 265-4330
- NPI assigned
- Aug 29, 2008
- Last updated
- Nov 8, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 077575-1 | NY | Primary |
Addresses
Primary practice location
113 Holland Ave
Albany, NY 12208-3410
Mailing address
73 Birds Hill Rd Apt 1
Averill Park, NY 12018-4702
Phone (518) 265-4330
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 |
|---|---|---|---|
| 077575-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226102400000",
"number": "1740438977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73 BIRDS HILL RD APT 1",
"city": "AVERILL PARK",
"state": "NY",
"postal_code": "120184702",
"telephone_number": "518-265-4330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 HOLLAND AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "122083410",
"telephone_number": "518-265-4330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THIERBECKER",
"first_name": "TERESA",
"middle_name": "ALINA",
"name_prefix": "Miss",
"credential": "L.M.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-29",
"last_updated": "2008-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "077575-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
- Theresa Amadi NP in Family Health and NP in Psychiatry, PLLC
- Jessica Thi
- Lorraine G Thibodeau, M.D.
- Ryan Thibodeau, MD
- Jordyn Diane Thiem, PA
- Johanna Thiesen-Root, RDH
- Thomas E. Couch, DPM, D. Joel Valentini, DPM
- Thomas G Rosano PHD LLC (National Toxicology Center)
- Thomas Niccolla Consulting Services, PLLC
- Thomas Nicolla (Nicolla Center for Oncology Rehabilitation)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.