Individual provider Active NPI

Teesha Ann Finkbeiner, LCSW

  • Clinical Social Worker
  • Russellville, AR
National Provider Identifier
1750539128
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2536-C Issued in AR
Practice address
701 E Main St
Suite 2
Russellville, AR 72801-5247
Phone
(479) 268-7773
Fax
(888) 978-7317
NPI assigned
Aug 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2536-C AR Primary

Addresses

Primary practice location

701 E Main St
Suite 2
Russellville, AR 72801-5247

Mailing address

PO Box 26122
Little Rock, AR 72221-6122
Phone (479) 268-7773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20150202001732 AR Practitioner - Clinical Social Worker 4183948086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

211 E 4TH St
Russellville, AR 72801-5133
Phone (479) 268-7773

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2536-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Teesha a. Finkbeiner, LCSW, P.a. Clinical CurrentSince Nov 17, 2014 Accepting new patients

Locations

211 E 4th St
Russellville, AR 72801
Phone (479) 264-8844

701 E Main St
Ste 2
Russellville, AR 72801
Phone (479) 268-7773

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1750539128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26122",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722216122",
            "telephone_number": "479-268-7773",
            "fax_number": "888-978-7317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E MAIN ST",
            "address_2": "SUITE 2",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728015247",
            "telephone_number": "479-268-7773",
            "fax_number": "888-978-7317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINKBEINER",
        "first_name": "TEESHA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-28",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "2536-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Russellville, AR

Sources for this page

Verify at the official NPI Registry.