Lacie Marie Teal, is a
Social Worker - Clinical based in Wapello, Iowa. Lacie Marie Teal is licensed to practice in * (Not Available) (license number ) and her current practice location is
304 Highway 61 N, Wapello, Iowa. She can be reached at her office (for appointments etc.) via phone at
(319) 523-8436.
NPI number for Lacie Marie Teal is 1114647666 and her current mailing address is 304 Highway 61 N, Wapello, Iowa. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114647666.
Healthcare Provider's Profile
| Full Name | Lacie Marie Teal |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 304 Highway 61 N, Wapello, Iowa |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1114647666
- Provider Enumeration Date: 09/02/2022
- Last Update Date: 12/18/2024
Medical Identifiers
Medical identifiers for Lacie Marie Teal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114647666 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lacie Marie Teal is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lacie Marie Teal,
304 Highway 61 N,
Wapello, IA 52653-1243
Ph: (319) 523-8436 | Lacie Marie Teal,
304 Highway 61 N,
Wapello, IA 52653-1243
Ph: (319) 523-8436 |
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