Teressa Kay Berry, LCSW, RPT

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2017004507 Issued in MO

Practice address

5065 N Main St
Joplin, MO 64801-7821

Phone

(417) 355-3278

NPI assigned

Jan 1, 2016

Last updated

Oct 1, 2024By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1451606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1790141042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5065 N MAIN ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648017821",
            "telephone_number": "417-355-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5065 N MAIN ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648017821",
            "telephone_number": "417-355-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "TERESSA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "LCSW, RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-01",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2017004507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Bennett, MAADC1
• William Joseph Bentz, MD
• Ashley K Berger
• Mohamed Berro
• Jennifer M Berry, LCSW
• Bethesda Resources Inc (Freeman Cancer Institute)
• Bernard F Bettasso, M.D.
• Amanda Betts
• Dennis W Bezold, O.D.
• BHG Lxxiv, LLC (BHG Medical Services - Missouri)

• Clinical Social Worker in Joplin, MO
• Providers in Joplin, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.