Tyisha Tamar Teel, MSW, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P012491 Issued in NC

Practice address

3332 Bridges St Ste 3a
Morehead City, NC 28557-3296

Phone

(888) 557-1675

Fax

(252) 648-7598

NPI assigned

Jul 18, 2018

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 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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1992281349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 TEELS LN",
            "city": "BEAUFORT",
            "state": "NC",
            "postal_code": "285167671",
            "telephone_number": "252-342-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3332 BRIDGES ST STE 3A",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285573296",
            "telephone_number": "888-557-1675",
            "fax_number": "252-648-7598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1730 Live Oak St",
            "address_purpose": "LOCATION",
            "city": "Beaufort",
            "state": "NC",
            "postal_code": "285161565",
            "country_code": "US",
            "telephone_number": "252-838-9035",
            "fax_number": "252-838-1156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEEL",
        "first_name": "TYISHA",
        "middle_name": "TAMAR",
        "credential": "MSW, LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P012491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Tawes
• David Duncan Taylor
• Jada Fields Taylor, FNP-C
• Melissa Taylor
• Sara Lynn Taylor, M.S. ED, BCBA
• Wanda Faye Temple
• Chelsey Tennant
• Kossi Kekle Tete, MD
• The Better Health Store
• The Broad Street Clinic Foundation

• Clinical Social Worker in Morehead City, NC
• Providers in Morehead City, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.