TERESA ELLSTROM
NPI 1346932563
Social Worker in Johnston, RI

Q: What is Teresa Ellstrom's NPI number?

The NPI number for Teresa Ellstrom is 1346932563. It was assigned to this individual provider in the NPPES registry on May 25, 2023.

Q: What is Teresa Ellstrom's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Teresa Ellstrom was last updated on March 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 25, 2023PECOS Enrolled

1443 HARTFORD AVE, JOHNSTON, RI 02919(401) 273-8100 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2024, Oct 27, 2023, Jul 24, 2023 and 1 more (4 updates tracked since 2023).

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About Teresa Ellstrom NPPES

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

TERESA ELLSTROM (NPI 1346932563) is an individual social worker in Johnston, Rhode Island, licensed in Rhode Island (ISW04050) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346932563

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameTERESA ELLSTROM

Location Address1443 HARTFORD AVEJohnston, RI 02919-3224

Mailing Address115 Intervale RdCranston, RI 02910-5245 · (508) 685-2899

Phone(401) 273-8100

Sole ProprietorNo

Enumeration DateMay 25, 2023

Last NPPES UpdateMarch 5, 20244 updates tracked since enumeration

NPPES CertifiedMarch 5, 2024

✔ NPI 1346932563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in RI · ISW04050

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

1443 HARTFORD AVE, Johnston, RI 02919

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Teresa Ellstrom is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

SANTANNA ROCHA J.D., M.S.W., LCSW

Social Worker (Clinical)