Individual
MS. TERESA MARIE DERR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LC.S.W., M.DIV.
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-9871
Mailing address
115 WILTON RD., WESTPORT, CT 06880
(203) 557-4508
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
054129
NY
1041C0700X
Clinical Social Worker
005181
CT
Other
Enumeration date
08/11/2006
Last updated
09/11/2025
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