THERESA M SOSA LCSW
NPI 1780016295
Social Worker - Clinical in Salisbury, NC

Q: What is Theresa Sosa's NPI number?

The NPI number for Theresa Sosa is 1780016295. It was assigned to this individual provider in the NPPES registry on August 7, 2013.

Q: What is Theresa Sosa's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Theresa Sosa was last updated on May 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 August 07, 2013PECOS EnrolledAccepts Medicare Assignment

95.02/100

CMS Quality Rating

2129 STATESVILLE BLVD, SALISBURY, NC 28147(704) 633-3616(704) 636-8818 Get Directions Write a Review

NPPES record last updated: May 19, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 19, 2017, Jan 31, 2017 (2 updates tracked since 2017).

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About Theresa M Sosa Lcsw NPPES

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

THERESA M SOSA LCSW (NPI 1780016295) is an individual clinical provider in Salisbury, North Carolina, licensed in North Carolina (C010534) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1780016295

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameTHERESA M SOSACredential: LCSW

Location Address2129 STATESVILLE BLVDSalisbury, NC 28147-1411

Mailing Address284 Executive Park Dr, Ste 100Concord, NC 28025-1831 · (704) 939-1100 · Fax (704) 939-1173

Phone(704) 633-3616

Fax(704) 636-8818

Sole ProprietorYes

Medical School CMSOtherGraduated 2008

Enumeration DateAugust 7, 2013

Last NPPES UpdateMay 19, 20172 updates tracked since enumeration

✔ NPI 1780016295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in NC · C010534✔ Licensed in FL · SW11385

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.

2129 STATESVILLE BLVD, Salisbury, NC 28147

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Theresa M Sosa 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 ID840584066

PECOS Enrollment IDI20170406000420

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28147 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 $54.12 – $165.09

Typical copayment $0.00 (range $13.53 – $41.27)

Most-billed visit code NA

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.02/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

80.09

Promoting Interoperability

Improvement Activities

Cost

100

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.

JOURDAN ELANA JOHNSON

Social Worker (Clinical)