MRS. TERESA D'AVERSA (MSW, LCSW) – Clinical Social Worker, NPI 1114533890

MRS. TERESA D'AVERSA (MSW, LCSW) is a healthcare provider. based in Morris, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW, LCSW. They hold a License No. 150.104594 (IL). The NPI Number for MRS. TERESA D'AVERSA (MSW, LCSW) is 1114533890

Main info

Female
Sole Proprietor
6 Years Of Experience
Name
MRS. TERESA D'AVERSA (MSW, LCSW)
NPI
1114533890
Phone
(650) 265-1193
Address
309 W NORTH ST
Enumeration Date
18 September 2020
Last Update Date
15 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8666300966
Graduation Year
2020 (6 years ago)
PAC ID
5799271409
Group Practice PAC ID
0547795791
Professional Enrollment ID
I20260102000467
Address ID
IL616023126PE416XXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

Provider Addresses for MRS. TERESA D'AVERSA (MSW, LCSW)

  • 309 W NORTH ST

    MORRIS, IL 604501836

    Phone: (650) 265-1193

    Type: Mailing

  • 1938 E LINCOLN HWY STE 207B

    NEW LENOX, IL 604513810

    Phone: (815) 314-4402

    Fax: (815) 277-1277

    Type: Location

  • 15127 S 73RD AVE STE C

    ORLAND PARK, IL 604623463

    Phone: (708) 586-9303

    Fax: (866) 950-9427

    Type: Mailing

  • 1005 W LARAWAY RD STE 230

    NEW LENOX, IL 604514117

    Phone: (815) 570-9303

    Fax: (866) 950-9427

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-02-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260102000467IClinical Social WorkerILTBD
I20260225000160IClinical Social WorkerINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60450)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547795791View full group profile
NameSpecialtyState
Mental Health CounselorSC
Mental Health CounselorIL
Mental Health CounselorIL
Clinical PsychologistIN
Clinical Social WorkerCT
Clinical Social WorkerCO
Mental Health CounselorFL
Nurse PractitionerIL
Nurse PractitionerNC
Clinical Social WorkerIL

Reviews

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Frequently asked questions

Is there an official ID for MRS. TERESA D'AVERSA (MSW, LCSW) in U.S. healthcare records?
The official identifier for MRS. TERESA D'AVERSA (MSW, LCSW) is NPI 1114533890.
Is MRS. TERESA D'AVERSA (MSW, LCSW) still an active registrant?
MRS. TERESA D'AVERSA (MSW, LCSW) carries an active NPI according to the public dataset.
What expertise is attributed to MRS. TERESA D'AVERSA (MSW, LCSW)?
MRS. TERESA D'AVERSA (MSW, LCSW)'s specialty line reads Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MRS. TERESA D'AVERSA (MSW, LCSW)?
Travel planning: use Morris, Illinois as the reference point for MRS. TERESA D'AVERSA (MSW, LCSW), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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