Active NPI
Timothy Scott Teig, MSW, LICSW
- Clinical Social Worker
- Pelican Rapids, MN
National Provider Identifier
1073082202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 19872
- Practice address
- 47847 Henry Hill Lane
Pelican Rapids, MN 56572 - Phone
- (218) 234-8196
- NPI assigned
- Nov 16, 2018
- Last updated
- Nov 16, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4656 | ND | |
| Clinical Social Worker | 1041C0700X | 19872 | MN | Primary |
Addresses
Primary practice location
47847 Henry Hill Lane
Pelican Rapids, MN 56572
Mailing address
47847 Henry Hill Lane
Pelican Rapids, MN 56572
Phone (218) 234-8196
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19872 | MN | MD | Clinical Social Worker |
| 4656 | ND | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542326400000",
"number": "1073082202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47847 HENRY HILL LANE",
"city": "PELICAN RAPIDS",
"state": "MN",
"postal_code": "56572",
"telephone_number": "218-234-8196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47847 HENRY HILL LANE",
"city": "PELICAN RAPIDS",
"state": "MN",
"postal_code": "56572",
"telephone_number": "218-234-8196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEIG",
"first_name": "TIMOTHY",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"credential": "MSW, LICSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-11-16",
"last_updated": "2018-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ND",
"license": "4656",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "19872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pelican Rapids, MN
- Select Physical Therapy Holdings Inc
- Neil Robert Shirreff, LICENSED PSYCHOLOGIS
- Solution Transport LLC
- Julie A Spina, MD
- St. Mary's Regional Health Center (Essentia Health St. Mary's - Pelican Rapids Clinic)
- The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Pelican Rapids Senior Living)
- The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Pelican Rapids)
- Marilyn Kay Welke, PT
- Stacy J Zimney, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.