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

Individual provider Clinical Social Worker · NPI 1669114708

Terese Corinne Line is a Clinical Social Worker in Brooklyn, New York. Graduated from Fordham University School of Medicine in 2016, 10 years ago. Practices with East Grand Health Center Inc, a 7-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
10
Trained at
Fordham University School of Medicine
Licensed in
NY
In the registry since
2022
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Practice location Address checks out

134 N 4th St
Brooklyn, NY 11249-3296
Phone: (646) 450-7748
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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 · Licence 091954-01 (NY)

Record details

NPI number1669114708
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 9, 2022
Last updated in NPPESApril 9, 2022
Certification dateApril 9, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolFORDHAM UNIVERSITY SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice East Grand Health Center Inc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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