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Individual

MRS. JESSICA CHASTAIN TEWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, M.DIV., LCSW

Contact information

Practice address
901 TIGER CONNECTOR, TIGER, GA 30576-2301
(706) 782-0459
Mailing address
23 CALEDONIA DR, FRANKLIN, NC 28734-1797
(828) 361-7901
(828) 837-5309

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904017159
VA
1041C0700X
Clinical Social Worker
C009647
NC
1041C0700X
Clinical Social Worker
Primary
CSW009497
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0904017159
VIRGINIA BOARD OF SOCIAL WORKERS
VA
01
C009647
NORTH CAROLINA BOARD OF SOCIAL WORK LICENSURE AND CERTIFICATION
NC
01
CSW009497
GA BOARD OF COUNSELORS, SOCIAL WORKERS, AND MARRIAGE AND FAMILY THERAPISTS
GA
Enumeration date
07/03/2013
Last updated
07/29/2025
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