Theresa Land, LCSW
NPI 1134644578 · Clinical Social Worker · Waycross, GA
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theresa Land, LCSW is a Clinical Social Worker provider in Waycross, GA (NPI 1134644578).
Provider details
- NPI number
- 1134644578
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- CSW004715 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-08-07
- Last updated
- 2019-11-20
Frequently asked questions
- What is Theresa Land's NPI number?
- Theresa Land's National Provider Identifier (NPI) is 1134644578, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theresa Land's specialty?
- Theresa Land is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Theresa Land located?
- Theresa Land's practice location on file with NPPES is 2484 Memorial Dr, Waycross, GA 31503-6336.
- What is Theresa Land's phone number?
- The practice phone number listed in the NPPES registry for Theresa Land is (912) 548-2099.
- Does Theresa Land accept Medicare?
- Theresa Land is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theresa Land's NPI active?
- Yes — Theresa Land's NPI (1134644578) is active in the NPPES registry as of the last update on 2019-11-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.