Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THERESA GUSTAVESON, LMSW
ActiveTHERESA GUSTAVESON, LMSW is a Social Worker healthcare provider located in ITHACA, New York. NPI 1770447179 is currently active in the NPPES registry. Verify at CMS.
Social Worker · ITHACA, NY
Registration Details
- NPI Number
- 1770447179
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 11, 2025 (0.66908827104354 yrs)
- Last Updated
- Dec 11, 2025
- License
-
120632 (NY)
Practice Information
- Address
-
950 DANBY RD STE 201-MITHACA, NY, 148505778Browse NY providers · Browse ZIP 14850
- Phone
- 6073606602
- Primary Specialty
-
Social Worker
104100000X
Other Social Worker Providers in ITHACA, NY
| Name | Credential | NPI |
|---|---|---|
| LYNN GERSTEIN | — | 1841251519 |
| ROBIN GUSOW HAMLISCH | — | 1013978667 |
| MAURICE HALTOM | — | 1215998042 |
| LISA ARIEL BERKI | — | 1518928233 |
| MATTHEW S BOONE | — | 1427019140 |
| DIANE LOUISE SULLIVAN | — | 1013978642 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.