Active NPI
Rori Tetreault, LMSW
- Social Worker
- Plattsburgh, NY
National Provider Identifier
1831064864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 107276
- Practice address
- 762 Ny-3
Suite #2
Plattsburgh, NY 12901 - Phone
- (518) 563-8000
- NPI assigned
- Oct 8, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
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 | 107276 | NY | Primary |
Addresses
Primary practice location
762 Ny-3
Suite #2
Plattsburgh, NY 12901
Mailing address
762 Ny-3
Suite #2
Plattsburgh, NY 12901
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 |
|---|---|---|---|
| 107276 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759881600000",
"number": "1831064864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "762 NY-3",
"address_2": "SUITE #2",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "12901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "762 NY-3",
"address_2": "SUITE #2",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "12901",
"telephone_number": "518-563-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TETREAULT",
"first_name": "RORI",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-10-08",
"last_updated": "2025-10-08",
"certification_date": "2025-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "107276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plattsburgh, NY
- Kailene Leila Tedford, FNP
- Tara Tedford, NP
- Wayne Allen Terpstra Jr., NCC, LMHC, CASAC,
- Bobbi J. Terry, LCSW
- Sarah Ashley Terry, PHARMD
- TG Behavioral Health Consultants Inc.
- The Pathology Group PC
- The PH.WC LLP
- The Young Mens Christian Association of Plattsburgh, New York
- Elizabeth Jackstadt Theeman, MS, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.