Active NPI
Tessarose Cepe Brown
- Clinical Social Worker
- Middletown, OH
National Provider Identifier
1235803842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 220 S Breiel Blvd Ste D
Middletown, OH 45044-5167 - Phone
- (910) 605-3472
- NPI assigned
- Aug 6, 2021
- Last updated
- Sep 1, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary | ||
| Behavior Technician | 106S00000X | 11963 | NC |
Addresses
Primary practice location
220 S Breiel Blvd Ste D
Middletown, OH 45044-5167
Mailing address
250 W Lake Rd
Raeford, NC 28376-6617
Phone (619) 208-3855
Other names 1
- Tessarose Bautista Cepe
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11963 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1235803842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 W LAKE RD",
"city": "RAEFORD",
"state": "NC",
"postal_code": "283766617",
"telephone_number": "619-208-3855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 S BREIEL BLVD STE D",
"city": "MIDDLETOWN",
"state": "OH",
"postal_code": "450445167",
"telephone_number": "910-605-3472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "TESSAROSE",
"middle_name": "CEPE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-06",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NC",
"license": "11963",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TESSAROSE",
"last_name": "CEPE",
"middle_name": "BAUTISTA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Middletown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.