Provider Demographics
NPI:1083451868
Name:NOSS, TERESA ESMERALDA (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:ESMERALDA
Last Name:NOSS
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:TERESA
Other - Middle Name:ESMERALDA
Other - Last Name:NOSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CARABALLO
Mailing Address - Street 1:8 THE GRN STE A
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-3618
Mailing Address - Country:US
Mailing Address - Phone:302-288-0684
Mailing Address - Fax:
Practice Address - Street 1:8 THE GRN STE A
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-3618
Practice Address - Country:US
Practice Address - Phone:302-288-0684
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-10
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-00123631041C0700X
PACW0220961041C0700X
MD304141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical