Teresa Gail Misco, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904005798 Issued in VA

Practice address

3536 Brambleton Ave
Suite 10
Roanoke, VA 24018-6526

Phone

(540) 776-6466

Fax

(540) 981-1705

NPI assigned

Jul 14, 2006

Last updated

Mar 18, 2011By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Individualized Counseling of Roanoke LLC

  • Clinical Social Worker
  • Roanoke, VA
  • NPI 1891169819
  Authorized official Same address or phone
• Individualized Counseling PLC

  • Clinical Social Worker
  • Roanoke, VA
  • NPI 1174605745
  NPD (past) Authorized official
• Appalachian Counseling Center PC

  • Clinical Neuropsychologist
  • Roanoke, VA
  • NPI 1225339047
  NPD (past)
• The Counseling Center

  • Mental Health Counselor
  • Tazewell, VA
  • NPI 1720192735
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300406400000",
    "number": "1801812557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 BRAMBLETON AVE",
            "address_2": "SUITE 10",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240186526",
            "telephone_number": "540-776-6466",
            "fax_number": "540-981-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3536 BRAMBLETON AVE",
            "address_2": "SUITE 10",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240186526",
            "telephone_number": "540-776-6466",
            "fax_number": "540-981-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISCO",
        "first_name": "TERESA",
        "middle_name": "GAIL",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2011-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904005798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minnick Education Center
• Ritter Minnix
• Chelsea Elizabeth Minoughan, MD
• Milad Mirmomen, MD
• Mohd A Mirza, MD
• Ananya Mishra
• Shubham Mishra
• Abigail Elaine Mistretta, DO
• Andrea Nichelle Mitchell, M.D.
• Angela N Mitchell, LCSW

• Clinical Social Worker in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.