Tynisha Teal, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

281 Hartford Tpke
Suite 201
Vernon, CT 06066-4784

Phone

(860) 896-5331

Fax

(860) 896-5334

NPI assigned

Oct 23, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Family Affirmation Center for Treatment, LLC

  • Clinical Social Worker
  • Vernon, CT
  • NPI 1083921506
  NPD (past)

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

{
    "created_epoch": "1287792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287792000000",
    "number": "1740580802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 HARTFORD TPKE",
            "address_2": "SUITE 201",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664784",
            "telephone_number": "860-896-5331",
            "fax_number": "860-896-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 HARTFORD TPKE",
            "address_2": "SUITE 201",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664784",
            "telephone_number": "860-896-5331",
            "fax_number": "860-896-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEAL",
        "first_name": "TYNISHA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-23",
        "last_updated": "2010-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Katharine Sweeney, OTR/L
• Patricia Szafir
• Melissa Ann Szczycinski, LCSW
• Lisa Talati, DO
• Bruce Jay Tandy, D.M.D
• Theresa Y Mangual MD
• Andrea M. Thoman, CPNP, APRN
• Eric Michael Thompson, DPM
• Andrew M Toce, LPC
• Dennis Tomczak

• Social Worker in Vernon, CT
• Providers in Vernon, CT by specialty
• Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.