National Provider Identifier

Peter Thomas Teall, LCSW-R, CASAC

Peter Thomas Teall, LCSW-R, CASAC is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Rochester, NY and a listed phone number of (585) 305-8759.

NPI 1225048671Rochester, NYAddiction (Substance Use Disorder) Counselor

Profile Overview

NPI
1225048671
Provider Type
Individual
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
August 08, 2006
Last Updated
September 11, 2025

Practice Location

  • 496 White Spruce Blvd
  • Rochester, NY 14623-1608

Phone: (585) 305-8759

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)
  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1225048671
Entity Type
Individual
Last Name
Teall
First Name
Peter
Middle Name
Thomas
Name Prefix
Mr.
Credential
LCSW-R, CASAC
Provider Other Last Name
Teall
Provider Other First Name
Peter
Provider Other Middle Name
Thomas
Provider Other Name Prefix Text
Mr.
Provider Other Credential Text
LCSW-R, CASAC
Provider Other Last Name Type Code
2
Mailing Street Address
496 White Spruce Blvd
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14623-1608
Mailing Country
US
Mailing Phone
(585) 305-8759
Practice Street Address
496 White Spruce Blvd
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14623-1608
Practice Country
US
Practice Phone
(585) 305-8759
Enumeration Date
August 08, 2006
Last Updated
September 11, 2025
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X), Mental Health Counselor (101YM0800X)