Grace Kathryn Tegg, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LMSW42457 Issued in ID

Practice address

101 S Allumbaugh Way
Boise, ID 83709-5658

Phone

(616) 745-3710

NPI assigned

Jul 3, 2024

Last updated

Jul 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Grace Kathryn Tegg Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Children's Therapy Place, Inc.

  dba The Work Place

  • Community Health Worker
  • Boise, ID
  • NPI 1447015250
  NPD

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1306682828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S ALLUMBAUGH WAY",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837095658",
            "telephone_number": "616-745-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S ALLUMBAUGH WAY",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837095658",
            "telephone_number": "616-745-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEGG",
        "first_name": "GRACE",
        "middle_name": "KATHRYN",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW42457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "TEGG",
            "middle_name": "KATHRYN",
            "prefix": "MRS.",
            "credential": "LMSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Robert J Teears, M.D.
• David A Teed, LCSW
• Teen Hope of Idaho
• Ross Teeple
• Coby Jon Tefft, M.A.
• Kimberly Telfer, NP
• Nicole Telford
• Tellica Imaging, LLC
• Amber Marie Tempin, PTA
• Lauryn Temple

• Social Worker in Boise, ID
• Providers in Boise, ID by specialty
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.