Individual provider Active NPI

Theresa Fernandes, LICSW

  • Social Worker
  • Fall River, MA
National Provider Identifier
1811344187
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
4 Hartwell St
Fall River, MA 02721-3019
Phone
(774) 218-5440
NPI assigned
May 17, 2016
Last updated
Oct 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU Primary

Addresses

Primary practice location

4 Hartwell St
Fall River, MA 02721-3019

Mailing address

4 Hartwell St
Fall River, MA 02721-3019
Phone (774) 218-5440

Other practice location 1

1261 Furnace Brook Pkwy Ste 31
Quincy, MA 02169
Phone (617) 479-4545

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190812003906 MA Practitioner - Clinical Social Worker 7618204785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Compassionate Counseling CompanyGroup PAC ID 9830474618, 9 clinicians

Practice addresses (Care Compare)

4 Hartwell St
Suite 201
Fall River, MA 02721-3019
Phone (774) 218-5440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionate Counseling Company CurrentSince Aug 1, 2022 Accepting new patients
Nova Psychiatric Service Past Accepting new patients

Locations

126 President Ave
Fall River, MA 02720
Phone (508) 672-6887

4 Hartwell St
Ste 201
Fall River, MA 02721
Phone (774) 218-5440

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1811344187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HARTWELL ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027213019",
            "telephone_number": "774-218-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HARTWELL ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027213019",
            "telephone_number": "774-218-5440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1261 Furnace Brook Pkwy Ste 31",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "MA",
            "postal_code": "02169",
            "country_code": "US",
            "telephone_number": "617-479-4545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDES",
        "first_name": "THERESA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-17",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.