THERESA GUSTAVESON LMSW
NPI 1770447179
Social Worker in Ithaca, NY

Q: 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.

Q: What is Theresa Gustaveson's specialty?

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

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: August 16, 2026.

On this page

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

Phone(607) 360-6602

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

Open in Google Maps ↗

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.

JEANINE KELLY WESTCOTT LMSW

Social Worker

950 DANBY RD STE 201-M
ITHACA, NY 14850

Tompkins County (607) 360-6602

ELIZABETH LEE KIM LMSW

Social Worker

950 DANBY RD STE 201-M
ITHACA, NY 14850

Tompkins County (607) 360-6602

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.