Individual provider Active NPI

Teal Hewlett, LCSW

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1558086579
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
256488 Issued in KY
Practice address
102 Daventry LN Ste 3
Louisville, KY 40223-2869
Phone
(502) 712-9604
NPI assigned
Oct 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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 256488 KY Primary

Addresses

Primary practice location

102 Daventry LN Ste 3
Louisville, KY 40223-2869

Mailing address

12700 Townepark Way Ste 111
Louisville, KY 40243-2538
Phone (859) 333-7803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260302001519 KY Practitioner - Clinical Social Worker 1759863533 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

206 Dunbar LN
Richmond, KY 40475-9283

950 Red House Rd
Richmond, KY 40475-9392

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
256488KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psychmind Counseling and Psychiatry LLC CurrentSince Feb 17, 2026 Accepting new patients

Locations

950 Red House Rd
Richmond, KY 40475
Phone (859) 328-2473

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1558086579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12700 TOWNEPARK WAY STE 111",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402432538",
            "telephone_number": "859-333-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 DAVENTRY LN STE 3",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232869",
            "telephone_number": "502-712-9604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEWLETT",
        "first_name": "TEAL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "256488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.