Individual provider Active NPI

Deborah Lynn Teppo, LCSW-R

  • Clinical Social Worker
  • Queensbury, NY
National Provider Identifier
1992810261
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
074275-1 Issued in NY
Practice address
527 Bay Rd Ste 101
Queensbury, NY 12804-1430
Phone
(518) 636-5059
NPI assigned
Aug 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 074275-1 NY Primary

Addresses

Primary practice location

527 Bay Rd Ste 101
Queensbury, NY 12804-1430

Mailing address

527 Bay Rd Ste 101
Queensbury, NY 12804-1430
Phone (518) 636-5059

Other practice location 1

35 Broad St
Glens Falls, NY 12801-4302
Phone (518) 798-6212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20070924000551 NY Practitioner - Clinical Social Worker 1658465406 Reassigns benefits to 1 organization
Practice locations: Queensbury, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Behavioral Health Services North, Inc.Group PAC ID 3173511557, 68 clinicians

Practice addresses (Care Compare)

2155 State Route 22B
Morrisonville, NY 12962-3417
Phone (518) 563-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
074275-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Services North, Inc. CurrentSince Jul 25, 2022 Accepting new patients
Behavioral Health Services North, Inc. CurrentSince Jul 25, 2022 Accepting new patients
Catholic Charities of Saratoga, Warren and Washington Counties Past Accepting new patients

Locations

2155 State Route 22B
Morrisonville, NY 12962
Phone (518) 562-3847

22 US Oval
Ste 218
Plattsburgh, NY 12903
Phone (518) 534-9666

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1992810261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 BAY RD STE 101",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128041430",
            "telephone_number": "518-636-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 BAY RD STE 101",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128041430",
            "telephone_number": "518-636-5059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Broad St",
            "address_purpose": "LOCATION",
            "city": "Glens Falls",
            "state": "NY",
            "postal_code": "128014302",
            "country_code": "US",
            "telephone_number": "518-798-6212",
            "fax_number": "518-793-9499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEPPO",
        "first_name": "DEBORAH",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "074275-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queensbury, NY

Sources for this page

Verify at the official NPI Registry.