MS. TERESITA GUERRA LICSW
NPI 1164903100
Social Worker - Clinical in Holyoke, MA

Active since August 28, 2018PECOS EnrolledAccepts Medicare Assignment
57 SUFFOLK ST, HOLYOKE, MA 01040(413) 534-2000 Get Directions Write a Review

NPPES record last updated: June 14, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 24, 2022, Aug 28, 2018 (2 updates tracked since 2018).

About Ms. Teresita Guerra Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. TERESITA GUERRA LICSW (NPI 1164903100) is an individual clinical provider in Holyoke, Massachusetts, licensed in Rhode Island (ISW03502) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1164903100
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. TERESITA GUERRACredential: LICSW
Location Address57 SUFFOLK STHolyoke, MA 01040-5090
Mailing Address3 Fenton StHolyoke, MA 01040-1092 · (413) 210-9295
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateAugust 28, 2018
Last NPPES UpdateJune 14, 20222 updates tracked since enumeration
NPPES CertifiedJune 14, 2022
✔ NPI 1164903100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in RI · ISW03502
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · SchoolTaxonomy 101YS0200X · License 1025117 (MA)
57 SUFFOLK ST, Holyoke, MA 01040

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Teresita Guerra Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941541965
PECOS Enrollment IDI20220606001589
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Teresita Guerra reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
100 SOUTH STREET
Southbridge, MA 01550
  • Reassigned Medicare billing, Massachusetts enrollment
  • 68 clinicians in this Medicare group
Mental Health
1150 RESERVOIR AVE STE 203
Cranston, RI 02920
  • Reassigned Medicare billing, Rhode Island enrollment
  • 65 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01040 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.86 – $177.36
Typical copayment $0.00 (range $14.71 – $44.34)
Most-billed visit code NA
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Local Education Agency (LEA)
57 SUFFOLK ST
HOLYOKE, MA 01040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Teresita Guerra's NPI number?

The NPI number for Teresita Guerra is 1164903100. It was assigned to this individual provider in the NPPES registry on August 28, 2018.

Where is Teresita Guerra located?

Teresita Guerra practices at 57 Suffolk St, Holyoke, MA 01040. The listed phone number is (413) 534-2000.

What is Teresita Guerra's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Teresita Guerra enrolled in Medicare?

Yes. Teresita Guerra is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Teresita Guerra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Teresita Guerra reassigns Medicare benefits to 2 organizations: Umass Memorial Health-Harrington Hospital Inc (Southbridge, MA) and Rhode Island Counseling Associates LLC (Cranston, RI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Teresita Guerra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Teresita Guerra accept?

Health plans from Harvard Pilgrim Health Care list Teresita Guerra as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Teresita Guerra was last updated on June 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.