Individual provider Active NPI

Deborah Allyson Teyer

  • Clinical Social Worker
  • Tarzana, CA
National Provider Identifier
1811468820
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW86423 Issued in CA
Practice address
18140 Oxnard St Unit 57
Tarzana, CA 91356-1781
Phone
(818) 217-7241
NPI assigned
Dec 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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 LCSW86423 CA Primary

Addresses

Primary practice location

18140 Oxnard St Unit 57
Tarzana, CA 91356-1781

Mailing address

18140 Oxnard St Unit 57
Tarzana, CA 91356-1781
Phone (818) 217-7241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20190425002847 CA Practitioner - Clinical Social Worker 1456693225 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86423CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Psychological Services Inc PastSince Jan 23, 2023 Accepting new patients

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": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1811468820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18140 OXNARD ST UNIT 57",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561781",
            "telephone_number": "818-217-7241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18140 OXNARD ST UNIT 57",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561781",
            "telephone_number": "818-217-7241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEYER",
        "first_name": "DEBORAH",
        "middle_name": "ALLYSON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW86423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.