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TERESA THEOPHANO LCSW
NPI 1427608629
Social Worker - Clinical in New York, NY

Active since September 19, 2019PECOS EnrolledAccepts Medicare Assignment
302 W 91ST ST, NEW YORK, NY 10024(212) 787-7120 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 30, 2019, Sep 19, 2019 (2 updates tracked since 2019).

About Teresa Theophano Lcsw NPPES

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

TERESA THEOPHANO LCSW (NPI 1427608629) is an individual clinical provider in New York, New York and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1427608629
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTERESA THEOPHANOCredential: LCSW
Location Address302 W 91ST STNew York, NY 10024-1011
Mailing Address302 W 91st StNew York, NY 10024-1011 · (212) 787-7120
Phone(212) 787-7120
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateSeptember 19, 2019
Last NPPES UpdateJuly 24, 20252 updates tracked since enumeration
NPPES CertifiedJuly 24, 2025
✔ NPI 1427608629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
302 W 91ST ST, New York, NY 10024
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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

Teresa Theophano Lcsw 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 ID8628309234
PECOS Enrollment IDI20191014000912
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 Reassignment

Medicare enrollment records show Teresa Theophano reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Service Program For Older People, Inc
Same address
Geriatric Psychiatry
302 W 91ST ST
New York, NY 10024
  • Reassigned Medicare billing, New York enrollment
  • 26 clinicians in this Medicare group
NPI 1740211143 (212) 787-7120

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 10024 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 $65.69 – $198.19
Typical copayment $0.00 (range $16.42 – $49.54)
Most-billed visit code NA
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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 13

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

MS. DONNA LEE L.C.S.W.
Social Worker
302 W 91ST ST
NEW YORK, NY 10024
New York County (917) 837-5541
VICTORIA GAMBINO
Peer Specialist
302 W 91ST ST
NEW YORK, NY 10024
New York County (212) 787-7120
MARIA TROCCHIO
Social Worker
302 W 91ST ST
NEW YORK, NY 10024
New York County (212) 787-7120
SOPHIE EISENBERG-EDIDIN LMSW
Social Worker
302 W 91ST ST
NEW YORK, NY 10024
New York County (212) 787-7120
MISS NYDAWATTIE NANJAD LCSW
Social Worker (Clinical)
302 W 91ST ST
NEW YORK, NY 10024
New York County (212) 787-7120
CATHERINE THURSTON LCSW
Social Worker (Clinical)
302 W 91ST ST, APT 2
NEW YORK, NY 10024
New York County (212) 787-7120
JESSIE V JENKINS
Social Worker
302 W 91ST ST
NEW YORK, NY 10024
New York County (212) 787-7120
EWELINA TURLIK
Nurse Practitioner (Psychiatric/Mental Health)
302 W 91ST ST
NEW YORK, NY 10024
New York County (212) 787-7120

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 Teresa Theophano's NPI number?

The NPI number for Teresa Theophano is 1427608629. It was assigned to this individual provider in the NPPES registry on September 19, 2019.

Where is Teresa Theophano located?

Teresa Theophano practices at 302 W 91st St, New York, NY 10024. The listed phone number is (212) 787-7120.

What is Teresa Theophano's specialty?

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

Is Teresa Theophano enrolled in Medicare?

Yes. Teresa Theophano 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 organization bills Medicare for Teresa Theophano's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Teresa Theophano reassigns Medicare benefits to Service Program For Older People, Inc (New York, NY). The 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 Teresa Theophano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Teresa Theophano was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.