Provider Demographics
NPI:1588640734
Name:SPRAGGINS, TERESA JANE (LCSW LPC)
Entity Type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:JANE
Last Name:SPRAGGINS
Suffix:
Gender:F
Credentials:LCSW LPC
Other - Prefix:
Other - First Name:TERESA
Other - Middle Name:JANE
Other - Last Name:POST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:40 LINDEN ST
Mailing Address - Street 2:
Mailing Address - City:WESTOVER
Mailing Address - State:WV
Mailing Address - Zip Code:26501-4067
Mailing Address - Country:US
Mailing Address - Phone:304-291-3858
Mailing Address - Fax:304-291-3858
Practice Address - Street 1:40 LINDEN ST
Practice Address - Street 2:
Practice Address - City:WESTOVER
Practice Address - State:WV
Practice Address - Zip Code:26501-4067
Practice Address - Country:US
Practice Address - Phone:304-291-3858
Practice Address - Fax:304-291-3858
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-20
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1535101YP2500X
WVCP00816357104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVSPSW14382Medicare ID - Type Unspecified