TESSA JEAN GARDNER LCSWA LCASA NPI 1851960256

NPI Information

  • NPI: 1851960256
  • Provider Name: TESSA JEAN GARDNER, LCSWA, LCASA
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 120 COASTAL HORIZONS DR
    SHALLOTTE, NC
    ZIP 28470
  • Phone: (910) 754-4515

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NPI Details

Tessa Jean Gardner, LCSWA, LCASA is an addiction (substance use disorder) counselor in Shallotte, NC. Tessa Jean Gardner, LCSWA, LCASA NPI is 1851960256. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

120 COASTAL HORIZONS DR
SHALLOTTE, NC
ZIP 28470-094
Phone: (910) 754-4515
Fax: (910) 202-9966

The enumeration date for this NPI number is 6/21/2021 and was last updated on 7/7/2021.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)LCAS-27486NORTH CAROLINAYes
21041C0700XSocial WorkerClinicalP016433NORTH CAROLINANo

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: 3/30/2025

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