Individual provider Active NPI

Teahl Light, LMSW

  • Social Worker
  • Topeka, KS
National Provider Identifier
1699509448
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LMSW13692 Issued in KS
Practice address
455 SE Golf Park Blvd Ste 121
Topeka, KS 66605-2862
Phone
(785) 783-2535
NPI assigned
Aug 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LMSW13692 KS Primary

Addresses

Primary practice location

455 SE Golf Park Blvd Ste 121
Topeka, KS 66605-2862

Mailing address

5100 W 6TH St Apt D5
Lawrence, KS 66049-2542
Phone (785) 615-1779

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LMSW13692KSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sent, Inc. CurrentSince Sep 1, 2024 Accepting new patients

Locations

455 SE Golf Park Blvd
Ste 121
Topeka, KS 66605
Phone (785) 783-2535

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": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1699509448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 W 6TH ST APT D5",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660492542",
            "telephone_number": "785-615-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 SE GOLF PARK BLVD STE 121",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666052862",
            "telephone_number": "785-783-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGHT",
        "first_name": "TEAHL",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "LMSW13692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.