Organization Active NPI

Teesha a. Finkbeiner, LCSW, P.a.

  • Clinical Social Worker
  • Russellville, AR
National Provider Identifier
1821495052
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TEESHA A. FINKBEINER, LCSW, P.A.
Practice address
701 E Main St Ste 2
Russellville, AR 72801-5209
Phone
(479) 268-7773
Fax
(888) 978-7317
NPI assigned
Dec 3, 2014
Organization subpart
Yes
Parent organization
TEESHA A. FINKBEINER, LCSW, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

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

Authorized official

Name
Mrs. Teesha Ann Finkbeiner, LCSWNPI 1750539128
Title
Provider / President
Phone
(479) 268-7773

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Community/Behavioral Health Agency 251S00000X 2536-C AR

Addresses

Primary practice location

701 E Main St Ste 2
Russellville, AR 72801-5209

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1750539128OtherARNPI 1

Other names 1

  • Teesha A. Warren, LCSW, P.A. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150126000680 AR Part B Supplier - Clinic/Group Practice 3274857172 Receives reassigned benefits from 1 practitioner
Practice locations: Russellville, AR

National Provider Directory

National Provider Directory
Part of
Teesha a Finkbeiner LCSW PA

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553126400000",
    "number": "1821495052",
    "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 STE 2",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728015209",
            "telephone_number": "479-268-7773",
            "fax_number": "888-978-7317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEESHA A. FINKBEINER, LCSW, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEESHA A. FINKBEINER, LCSW, P.A.",
        "enumeration_date": "2014-12-03",
        "last_updated": "2019-03-21",
        "status": "A",
        "authorized_official_last_name": "FINKBEINER",
        "authorized_official_first_name": "TEESHA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PROVIDER / PRESIDENT",
        "authorized_official_telephone_number": "479-268-7773",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AR",
            "license": "2536-C",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1",
            "identifier": "1750539128",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Teesha A. Warren, LCSW, P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Russellville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.