Active NPI
Lacie Marie Teal
- Clinical Social Worker
- Wapello, IA
National Provider Identifier
1114647666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 304 Highway 61 N
Wapello, IA 52653-1243 - Phone
- (319) 523-8436
- Fax
- (319) 523-7079
- NPI assigned
- Sep 2, 2022
- Last updated
- Jun 11, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
304 Highway 61 N
Wapello, IA 52653-1243
Mailing address
304 Highway 61 N
Wapello, IA 52653-1243
Phone (319) 523-8436
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | lteal@addsiowa.org | Direct |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alcohol & Drug Dependency Services | Past | Accepting new patients | |
| Optimae Lifeservices, Inc, | Clinical | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Substance Abuse Rehabilitation Facility
- Wapello, IA
- NPI 1043486400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749600000000",
"number": "1114647666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 HIGHWAY 61 N",
"city": "WAPELLO",
"state": "IA",
"postal_code": "526531243",
"telephone_number": "319-523-8436",
"fax_number": "319-523-7079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 HIGHWAY 61 N",
"city": "WAPELLO",
"state": "IA",
"postal_code": "526531243",
"telephone_number": "319-523-8436",
"fax_number": "319-523-7079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEAL",
"first_name": "LACIE",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-02",
"last_updated": "2025-06-11",
"certification_date": "2025-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "lteal@addsiowa.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "304 Highway 61 N",
"city": "Wapello",
"state": "IA",
"country_code": "US",
"postal_code": "526531243",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Wapello, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.