Teresa M. Yandow, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089-0001162 Issued in VT

Practice address

200 Main St Ste 4C
Burlington, VT 05401-8350

Phone

(802) 495-1775

NPI assigned

Jan 3, 2007

Last updated

Dec 4, 2021By 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 VT

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

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Teresa Yandow, LLC

  • Clinical Social Worker
  • Shelburne, VT
  • NPI 1649938838
  NPD Authorized official

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638576000000",
    "number": "1982761359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 GREEN HILLS DR",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054826329",
            "telephone_number": "774-249-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MAIN ST STE 4C",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054018350",
            "telephone_number": "802-495-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANDOW",
        "first_name": "TERESA",
        "middle_name": "M.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2021-12-04",
        "certification_date": "2021-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089-0001162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013354",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark L. Wulkan, M.D.
• John Wyman
• Zoe Wyse
• Kenrick Edwin Wysong
• Robin Yandell, APRN
• Michelle Yang, MD
• Yankee Medical Inc
• Yannick Chassereau, Lpma
• Suzanne Yaramishyn, LCMHC
• Ralph W Yarnell, M.D.

• Clinical Social Worker in Burlington, VT
• Providers in Burlington, VT by specialty
• Clinical Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2021; 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.