TERESA J KANG LCSW LISAC NPI 1740360882

NPI Information

NPI: 1740360882
Provider Name: TERESA J KANG, LCSW, LISAC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1554 W VAN BUREN ST
PHOENIX, AZ
ZIP 85007
Phone: (602) 258-6797
Get Directions

Teresa J Kang, LCSW, LISAC is an addiction (substance use disorder) counselor in Phoenix, AZ. Teresa J Kang, LCSW, LISAC NPI is 1740360882. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1554 W VAN BUREN ST
PHOENIX, AZ
ZIP 85007-442
Phone: (602) 258-6797
Fax: (602) 340-9401

The enumeration date for this NPI number is 10/16/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LISAC-10592	ARIZONA	Yes
2	1041C0700X	Social Worker	Clinical	LCSW-3551	ARIZONA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	814716	OTHER	ARIZONA	AHCCCS ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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