Tanita M Teagle, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW003512 Issued in GA

Practice address

60 Alloway Dr
Villa Rica, GA 30180-3818

Phone

(404) 210-5546

NPI assigned

Jan 2, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pathways Center for Behavioral & Developmental Growth

  • Community/Behavioral Health Agency
  • Newnan, GA
  • NPI 1407492846
  NPD (past)
• Pathways Center for Behavioral and Developmental Growth

  • Community/Behavioral Health Agency
  • Newnan, GA
  • NPI 1013289255
  NPD (past)
• Senior Psych Solutions Corp

  • Clinical Social Worker
  • Atlanta, GA
  • NPI 1225078629
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323388800000",
    "number": "1164589248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 ALLOWAY DR",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301803818",
            "telephone_number": "404-210-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 ALLOWAY DR",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301803818",
            "telephone_number": "404-210-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEAGLE",
        "first_name": "TANITA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2011-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jules Chopin Sybert, FNP
• T & S Response Group LLC
• Yonas Tamene, MD
• Tanner Medical Center, Inc.
• Myka Taylor, MD
• Logan Teal, NRP
• Temple Medhealth
• Temple Medical LLC
• Yesha Mukesh Thakkar, D.O
• The Eyedeal Site

• Clinical Social Worker in Villa Rica, GA
• Providers in Villa Rica, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; 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.