Provider Demographics
NPI:1356601777
Name:PASCARELLA, TERESA MARY (LCSW-R)
Entity type:Individual
Prefix:MS
First Name:TERESA
Middle Name:MARY
Last Name:PASCARELLA
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:TERESA
Other - Middle Name:MARY
Other - Last Name:ALESCI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:248 MAIN ST
Mailing Address - Street 2:STE 201
Mailing Address - City:ONEIDA
Mailing Address - State:NY
Mailing Address - Zip Code:13421-2106
Mailing Address - Country:US
Mailing Address - Phone:315-491-2030
Mailing Address - Fax:
Practice Address - Street 1:248 MAIN ST
Practice Address - Street 2:STE 201
Practice Address - City:ONEIDA
Practice Address - State:NY
Practice Address - Zip Code:13421-2106
Practice Address - Country:US
Practice Address - Phone:315-491-2030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-18
Last Update Date:2019-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR074306-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker