Individual provider Active NPI

Lisa Michelle Teer, LCSW

  • Clinical Social Worker
  • North Little Rock, AR
National Provider Identifier
1477993491
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6881-C Issued in AR
Practice address
628 W Broadway St
North Little Rock, AR 72114-5544
Phone
(501) 773-7040
NPI assigned
Jul 5, 2013
Last updated
Oct 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6881-C AR Primary

Addresses

Primary practice location

628 W Broadway St
North Little Rock, AR 72114-5544

Mailing address

14 Farvu CT
North Little Rock, AR 72118-5110
Phone (501) 773-7040

Other practice location 1

1615 Martin Luther King Blvd
Malvern, AR 72104-2233
Phone (501) 624-7111

Other practice location 2

415 N McKinley St Ste 1060
Little Rock, AR 72205-3072
Phone (501) 773-7040

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6881-CARMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1372982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1477993491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 FARVU CT",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721185110",
            "telephone_number": "501-773-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 W BROADWAY ST",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721145544",
            "telephone_number": "501-773-7040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1615 Martin Luther King Blvd",
            "address_purpose": "LOCATION",
            "city": "Malvern",
            "state": "AR",
            "postal_code": "721042233",
            "country_code": "US",
            "telephone_number": "501-624-7111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 N McKinley St Ste 1060",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722053072",
            "country_code": "US",
            "telephone_number": "501-773-7040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEER",
        "first_name": "LISA",
        "middle_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-05",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "6881-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.