Patrick G Teahan, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

116642

Practice address

3 Baldwin Green Common
Woburn, MA 01801

Phone

(617) 767-8281

NPI assigned

Aug 30, 2009

Last updated

Sep 5, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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.

Opted out of Medicare

Yes, effective Jan 1, 2017 through Jan 1, 2027

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Center for Health Resources Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Woburn, MA
  • NPI 1356488381
  NPD (past)

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

{
    "created_epoch": "1251590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1619100229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BALDWIN GREEN COMMON",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "01801",
            "telephone_number": "617-767-8281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BALDWIN GREEN COMMON",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "01801",
            "telephone_number": "617-767-8281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEAHAN",
        "first_name": "PATRICK",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-30",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "116642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelley Louise Tanzie, LMHC
• Alyssa Tarpy
• Catherine Tassone, OTA
• Cassandra Mary Tatro
• Elizabeth Taylor
• Teresa Hencke LLC
• Kristyn Terry, M.S. CCC-SLP
• The Sensational Child, LLC
• The Stop & Shop Supermarket Company, LLC (Stop and Shop Pharmacy #96)
• The Women's Center for DBT, PLLC

• Clinical Social Worker in Woburn, MA
• Providers in Woburn, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.