Individual provider Active NPI

Abigale Alisha Teed, LCSW, MSW

  • Clinical Social Worker
  • Asheville, NC
National Provider Identifier
1750038774
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C017591 Issued in NC
Practice address
77 Central Ave Ste C
Asheville, NC 28801-2451
Phone
(828) 393-0902
NPI assigned
Mar 9, 2022
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P017252 NC
Clinical Social Worker 1041C0700X C017591 NC Primary

Addresses

Primary practice location

77 Central Ave Ste C
Asheville, NC 28801-2451

Mailing address

PO Box 100181
Columbia, SC 29202-3141
Phone (828) 676-3593

Other practice location 1

419 McDowell St
Asheville, NC 28803-2610
Phone (828) 676-6593

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250430002212 NC Practitioner - Clinical Social Worker 4587180757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Oklahoma College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ellie of Avl Central, PLLCGroup PAC ID 6507308970, 9 clinicians

Practice addresses (Care Compare)

77 Central Ave
Suite C
Asheville, NC 28801-2451
Phone (828) 393-0902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C017591NCMDClinical Social Worker
P017252NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ellie of Avl Central, PLLC CurrentSince Feb 1, 2025 Accepting new patients
Mountains to Sea Therapy PLLC Clinical Current Accepting new patients

Locations

77 Central Ave
Ste C
Asheville, NC 28801
Phone (828) 393-0902

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1750038774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100181",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292023141",
            "telephone_number": "828-676-3593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 CENTRAL AVE STE C",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288012451",
            "telephone_number": "828-393-0902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "419 McDowell St",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288032610",
            "country_code": "US",
            "telephone_number": "828-676-6593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEED",
        "first_name": "ABIGALE",
        "middle_name": "ALISHA",
        "credential": "LCSW, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-09",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P017252",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C017591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.