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Individual
TESSA IVEY
Active
Individual
TESSA IVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-S
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.173563
OH
104100000X
Social Worker
S.2101774
OH
1041C0700X
Clinical Social Worker
Primary
I.2405763
OH
1041C0700X
Clinical Social Worker
Primary
I.2405763-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
LICENSURE BOARD
OH
Enumeration date
01/03/2018
Last updated
03/11/2026
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