Sandra Teuber

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 7842 Issued in FL

Legal business name

SANDRA TEUBER

Practice address

2900 Veterans Way
Viera, FL 32940-8007

Phone

(321) 637-3788

Fax

(321) 637-3648

NPI assigned

Feb 27, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Sandra Lee Bouchard Teuber, LCSW, CAP

Title

Licensed Clinical Social Worker

Phone

(321) 637-3788

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1730155185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 STEARNS AVE NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329053542",
            "telephone_number": "321-768-7534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 VETERANS WAY",
            "city": "VIERA",
            "state": "FL",
            "postal_code": "329408007",
            "telephone_number": "321-637-3788",
            "fax_number": "321-637-3648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA TEUBER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-27",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "TEUBER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "LEE BOUCHARD",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "321-637-3788",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, CAP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "CAP 2661",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 7842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Renee Rucker, PA
• Troy Lee Rush, MHA, PT
• Carol D Russell, PA-C
• Austin Ryan, H.A.S,H.I.S
• Stephen H Ryemon, DPM
• Darla Ann Sansom
• Rebbie L Santos, RPH
• Mark Sargent, MD
• Madhu Bala Sarwal, M.D
• William Savino Jr., PHARMD

• Clinical Social Worker in Viera, FL
• Providers in Viera, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.