Nanette Teausant-Taller, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1802 Division St
Suite 310
Morris, IL 60450-1182

Phone

(815) 942-3405

Fax

(815) 942-3418

NPI assigned

Jan 22, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053465732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 COUNTRY OAK LN",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604507218",
            "telephone_number": "815-942-3405",
            "fax_number": "815-942-3418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 DIVISION ST",
            "address_2": "SUITE 310",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501182",
            "telephone_number": "815-942-3405",
            "fax_number": "815-942-3418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEAUSANT-TALLER",
        "first_name": "NANETTE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID NUMBER",
            "identifier": "3232027",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Stump
• Ashish G. Suthar, PHARMD
• Richard Russell Symanski, D.O.
• Tricia Marie Taaca, PA-C
• Benedict Tanbonliong, MD
• John Arthur Thompson
• Three Wells Acupuncture Clinic, Inc.
• Ashleigh Tira
• Kanchan Tiwari, MD
• Toddler Therapy Services Inc

• Clinical Social Worker in Morris, IL
• Providers in Morris, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.