Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Teresa Theophano, LCSW

Individual provider Clinical Social Worker · NPI 1427608629

Teresa Theophano, LCSW is a Clinical Social Worker in New York, New York. Qualified in 2004, 22 years ago. Practices with Service Program for Older People Inc, a 14-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
22
In the registry since
2019
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

302 W 91st St
New York, NY 10024-1011
Phone: (212) 787-7120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1427608629
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 19, 2019
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Service Program For Older People Inc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Colleagues at Service Program for Older People Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 14 clinicians in the practice; 12 are shown here.

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