Tammy Yanus Tevepaugh, LCSW-A

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P014248 Issued in NC

Practice address

929 Brookhaven Rd
Statesville, NC 28625-9234

Phone

(704) 450-1109

NPI assigned

Jan 17, 2020

Last updated

Jan 17, 2020By 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 identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1487284493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 BROOKHAVEN RD",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286259234",
            "telephone_number": "704-555-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 BROOKHAVEN RD",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286259234",
            "telephone_number": "704-450-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEVEPAUGH",
        "first_name": "TAMMY",
        "middle_name": "YANUS",
        "credential": "LCSW-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P014248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW-A",
            "identifier": "P014248",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pc",
            "affiliation": "N",
            "endpointDescription": "home",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "none",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "none",
            "address_1": "929 Brookhaven Rd",
            "city": "Statesville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286259234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Reagan Shae Tanner
• Rebecca Gail Taylor, RDH
• Stephanie Lee Taylor, PA
• Kacie Miller Teeter, PA-C
• Lauren Teodorovici, LAT, ATC
• Meredith Ann Morrison Tew, MA, CCC-SLP
• Vienna Thao
• Patricia Sweet Thaxton
• The Mental Health Association in North Carolina, Inc (Iredell PSR)
• The Mental Health Association in North Carolina, Inc (Iredell PSR)

• Clinical Social Worker in Statesville, NC
• Providers in Statesville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.