JENNIFER TISDALE NPI 1700443843

NPI Information

  • NPI: 1700443843
  • Provider Name: JENNIFER TISDALE
  • Classification: Social Worker - 104100000X
  • Entity Type: Individual
  • Address: 136 US 70 HWY E
    GARNER, NC
    ZIP 27529
  • Phone: (919) 791-5611

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NPI Details

Jennifer Tisdale is a social worker in Garner, NC. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. Jennifer Tisdale NPI is 1700443843. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

136 US 70 HWY E
GARNER, NC
ZIP 27529-982
Phone: (919) 791-5611

The enumeration date for this NPI number is 5/23/2019 and was last updated on 12/26/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalC017933NORTH CAROLINANo
2104100000XSocial WorkerPO13258NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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