Provider Demographics
NPI:1871609909
Name:WORKS, TERESA C (LCSW, ACSW, MSW)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:C
Last Name:WORKS
Suffix:
Gender:F
Credentials:LCSW, ACSW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 RUSSELL ST
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06052-1312
Mailing Address - Country:US
Mailing Address - Phone:860-612-0432
Mailing Address - Fax:860-612-0087
Practice Address - Street 1:50 GRISWOLD STREET
Practice Address - Street 2:NEW BRITIAN GENERAL HOSPITAL COUNSELING CENTER
Practice Address - City:NEW BRITIAN
Practice Address - State:CT
Practice Address - Zip Code:06050
Practice Address - Country:US
Practice Address - Phone:860-224-5267
Practice Address - Fax:860-224-5752
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2016-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003023104100000X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
S2541Medicare UPIN
800003122Medicare ID - Type Unspecified