Individual provider · Type 1 NPI

Lacie Marie Teal

Clinical Social Worker · Wapello, IA

NPI number 1114647666 Active

Practice location

304 Highway 61 N
Wapello, IA 52653-1243

Fax (319) 523-7079

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1114647666

Lacie Marie Teal's National Provider Identifier is 1114647666, issued on Sep 2, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wapello, IA. The record was last updated on Jun 11, 2025.