Individual provider Active NPI

Michael H. Teague, MSW, LADAC, LMSW,

  • Clinical Social Worker
  • Jonesboro, AR
National Provider Identifier
1700097672
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
758-M Issued in AR
Practice address
2913 King St
Suite 4
Jonesboro, AR 72401-5322
Phone
(870) 972-6199
Fax
(870) 972-6199
NPI assigned
May 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0006-L AR
Clinical Social Worker 1041C0700X 758-M AR Primary

Addresses

Primary practice location

2913 King St
Suite 4
Jonesboro, AR 72401-5322

Mailing address

PO Box 10040
Jonesboro, AR 72401-1140
Phone (870) 972-6199

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
0006-LARMDAddiction (Substance Use Disorder) Counselor
758-MARMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1700097672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10040",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724011140",
            "telephone_number": "870-972-6199",
            "fax_number": "870-972-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2913 KING ST",
            "address_2": "SUITE 4",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015322",
            "telephone_number": "870-972-6199",
            "fax_number": "870-972-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEAGUE",
        "first_name": "MICHAEL",
        "middle_name": "H.",
        "name_prefix": "Mr.",
        "credential": "MSW, LADAC, LMSW,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AR",
            "license": "0006-L",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "758-M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.