Bruce Teall, LCSW
NPI 1235193962ActiveIndividual· Social Worker, Clinical· Penfield, NY
Social Worker, Clinical (LCSW) in Penfield, New York, licensed in NY, with an NPI issued in April 2006. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1235193962 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | Yes |
| NPI issued | Apr 12, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | R054197-1 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (NY) |
|---|
Education and affiliations
| Graduation year | 1996 |
|---|---|
| Medicare specialty | Clinical Social Worker |
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All 27 clinical social workers in Penfield · All clinical social workers in New York