Individual provider · Type 1 NPI

Tanita M. Teagle, LCSW

Clinical Social Worker · Villa Rica, GA

NPI number 1164589248 Active

Practice location

60 Alloway Dr
Villa Rica, GA 30180-3818

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW003512 (GA)

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 1164589248

Tanita M. Teagle, LCSW's National Provider Identifier is 1164589248, issued on Jan 2, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Villa Rica, GA. The record was last updated on Dec 9, 2011.