Individual
MS. JESSICA NICOLE TARVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
715 PEACHTREE ST NE STE 100&200, ATLANTA, GA 30308-2177
(646) 941-7645
(929) 596-7897
Mailing address
PO BOX 17939, ATLANTA, GA 30316-0939
(404) 604-8937
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW008999
GA
1041C0700X
Clinical Social Worker
Primary
CSW009044
GA
Other
Enumeration date
02/20/2023
Last updated
03/31/2026
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