Teresa J Gentile, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

110126 Issued in MA

Practice address

401 Stockbridge Rd.
GT.Barrington, MA 01230

Phone

(413) 274-6039

NPI assigned

Dec 12, 2006

Last updated

Jul 14, 2014By 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 1

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

Specialty

Clinical Social Worker

Education

University of Kentucky College of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405296000000",
    "number": "1770644940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BLUE HILL ROAD",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012300123",
            "telephone_number": "413-528-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 STOCKBRIDGE RD.",
            "city": "GT.BARRINGTON",
            "state": "MA",
            "postal_code": "01230",
            "telephone_number": "413-274-6039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTILE",
        "first_name": "TERESA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2014-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "110126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "P2267501",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie D Faddis, PT
• Jeffrey Forget, LMHC
• Marsha Marie Frye-Moquin, RN, MSW, LICSW, CCM
• Ruth Geller, LMHC
• Lois Gennari, LICSW
• Mani George, MD
• Great Barrington Health Services, Inc. (Berkshire Home Health Care Supplies)
• Sharyn A Hickey, NP
• Betty Dean Hydon, LICSW
• Amy Carol Ice, MD

• Clinical Social Worker in GT Barrington, MA
• Providers in GT Barrington, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.