Active NPI
Teresa J Kang, LCSW, LISAC
- Addiction (Substance Use Disorder) Counselor
- Phoenix, AZ
National Provider Identifier
1740360882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LISAC-10592
- Practice address
- 1554 W Van Buren St
Phoenix, AZ 85007-2442 - Phone
- (602) 258-6797
- Fax
- (602) 340-9401
- NPI assigned
- Oct 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LISAC-10592 | AZ | Primary |
| Clinical Social Worker | 1041C0700X | LCSW-3551 | AZ |
Addresses
Primary practice location
1554 W Van Buren St
Phoenix, AZ 85007-2442
Mailing address
1243 W Glenmere Dr
Chandler, AZ 85224-7546
Phone (480) 821-2494
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 814716 | Other | AZ | AHCCCS ID |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LISAC-10592 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
| LCSW-3551 | AZ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1740360882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1243 W GLENMERE DR",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852247546",
"telephone_number": "480-821-2494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1554 W VAN BUREN ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850072442",
"telephone_number": "602-258-6797",
"fax_number": "602-340-9401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANG",
"first_name": "TERESA",
"middle_name": "J",
"credential": "LCSW, LISAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "LISAC-10592",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LCSW-3551",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS ID",
"identifier": "814716",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
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.