Mr Thomas Jeremiah Teague Jr, is a
Social Worker - Clinical based in Columbus, Ohio. Mr Thomas Jeremiah Teague Jr is licensed to practice in Ohio (license number S.0014421) and his current practice location is
1515 E Broad St, 889 E, Broad St, Columbus, Ohio. He can be reached at his office (for appointments etc.) via phone at
(614) 251-7723.
NPI number for Mr Thomas Jeremiah Teague Jr is 1184086720 and his current mailing address is 360 S Grant Ave, Columbus, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184086720.
Healthcare Provider's Profile
| Full Name | Mr Thomas Jeremiah Teague Jr |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1515 E Broad St, Columbus, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1184086720
- Provider Enumeration Date: 03/23/2016
- Last Update Date: 06/23/2025
Medical Identifiers
Medical identifiers for Mr Thomas Jeremiah Teague Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184086720 | NPI | - | NPPES |
| ICDC.965668-CS | Other | OH | LICENSED INDEPENDENT CHEMICAL DEPENDENCY COUNSELOR CLINICAL SUPERVISOR |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | ICDC.965668-CS (Ohio) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 965668 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | S.0014421 (Ohio) | 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. Mr Thomas Jeremiah Teague Jr 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 |
|---|
Mr Thomas Jeremiah Teague Jr,
360 S Grant Ave,
Columbus, OH 43215-5537
Ph: (614) 593-6426 | Mr Thomas Jeremiah Teague Jr,
1515 E Broad St, 889 E, Broad St,
Columbus, OH 43205-1550
Ph: (614) 251-7723 |
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