T.E.a.M., Inc

Primary specialty

Social WorkerTaxonomy code 104100000X

License

22799 Issued in TX

Legal business name

T.E.A.M., INC

Practice address

609 N Ebrite St
Suite 111
Mesquite, TX 75149-3478

Phone

(972) 289-0040

Fax

(972) 289-0042

NPI assigned

Mar 18, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Edmond S Maxon III, LBSW

Title

Texas Social Worker

Phone

(972) 289-0040

Specialties & licenses 1

Addresses

Tax ID family

Team2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• T.E.a.M.

  • Community/Behavioral Health Agency
  • Dallas, TX
  • NPI 1710364575
  NPD tax ID

Locations

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268870400000",
    "number": "1740504836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 N EBRITE ST",
            "address_2": "SUITE 111",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751493478",
            "telephone_number": "972-289-0040",
            "fax_number": "972-289-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 N EBRITE ST",
            "address_2": "SUITE 111",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751493478",
            "telephone_number": "972-289-0040",
            "fax_number": "972-289-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T.E.A.M., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-18",
        "last_updated": "2010-03-18",
        "status": "A",
        "authorized_official_last_name": "MAXON",
        "authorized_official_first_name": "EDMOND",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "TEXAS SOCIAL WORKER",
        "authorized_official_telephone_number": "972-289-0040",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "LBSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "TX",
            "license": "22799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; 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.