Tyleshia Danielle Jennings, LMSW, LCSW-A

Primary specialty

Social WorkerTaxonomy code 104100000X

License

P014509 Issued in NC

Practice address

307 W Tremont Ave Ste 200
Charlotte, NC 28203-4902

Phone

(980) 288-9227

NPI assigned

Jul 28, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1043983729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 ANVIL DRAW PL",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297309241",
            "telephone_number": "843-254-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 W TREMONT AVE STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034902",
            "telephone_number": "980-288-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "TYLESHIA",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "LMSW, LCSW-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SC",
            "license": "14000",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NC",
            "license": "P014509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica A Jennings, MOT, OTR/L
• Kendra Jennings
• Natalie Michelle Jennings, CERTIFIED HAIR LOSS
• Nicole Jennings
• Sheena Jennings
• Jenny Gandhi (Pearl. Dentistry Reimagined)
• Jenny Tran Enterprises, Inc
• Chandler Jensen
• Joshua S Jensen, LMFTA
• Linda Michelle Jensen

• Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.