Laurie A Teixeira, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

002488 Issued in GA

Practice address

10375 Ford Ave Ste 3
Richmond Hill, GA 31324-9037

Phone

(912) 604-3983

Fax

(844) 605-1874

NPI assigned

Oct 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Clinical Social Worker

Education

Boston University School of Medicine, 1987

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Way Station Counseling, LLC

  • Clinical Social Worker
  • Richmond Hill, GA
  • NPI 1649803867
  NPD (past)

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1770770869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 OXFORD DR",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313244729",
            "telephone_number": "912-604-3983",
            "fax_number": "844-605-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10375 FORD AVE STE 3",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313249037",
            "telephone_number": "912-604-3983",
            "fax_number": "844-605-1874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEIXEIRA",
        "first_name": "LAURIE",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-02",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "002488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Szyper
• Tamara Thorn DMSC, PA-C, LCSW Psychiatric Physician Assistant Services
• Tattnall Hospital Company LLC
• Tyler Alyssa Taufer, BCBA
• Dillon Taylor
• The Kroger Co
• The Kroger Co
• The Neurodiverse Bcba Behavioral Consulting, LLC
• The Urgent Care Center of Richmond Hill, LLC
• Beverley V Theodore, LPC

• Clinical Social Worker in Richmond Hill, GA
• Providers in Richmond Hill, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.