THERESA GUSTAVESON LMSW
NPI 1770447179
Social Worker in Ithaca, NY

Active since December 11, 2025
950 DANBY RD STE 201-M, ITHACA, NY 14850(607) 360-6602 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Theresa Gustaveson Lmsw NPPES

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

THERESA GUSTAVESON LMSW (NPI 1770447179) is an individual social worker in Ithaca, New York, licensed in New York (120632) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1770447179
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameTHERESA GUSTAVESONCredential: LMSW
Location Address950 DANBY RD STE 201-MIthaca, NY 14850-5778
Mailing Address1182 Chenango StBinghamton, NY 13901-1653 · (607) 772-6904
Sole ProprietorNo
Enumeration DateDecember 11, 2025
NPPES CertifiedDecember 11, 2025
NPI 1770447179 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 NY · 120632
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.

950 DANBY RD STE 201-M, Ithaca, NY 14850

Other Identifiers 1

Medicaid02997780NY

Other Providers at the Same Location NPPES 2

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

Social Worker
950 DANBY RD STE 201-M
ITHACA, NY 14850
Social Worker
950 DANBY RD STE 201-M
ITHACA, NY 14850

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 Theresa Gustaveson's NPI number?

The NPI number for Theresa Gustaveson is 1770447179. It was assigned to this individual provider in the NPPES registry on December 11, 2025.

Where is Theresa Gustaveson located?

Theresa Gustaveson practices at 950 Danby Rd Ste 201-M, Ithaca, NY 14850. The listed phone number is (607) 360-6602.

What is Theresa Gustaveson's specialty?

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

When was this NPI record last updated?

The NPPES record for Theresa Gustaveson was last updated on December 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.