Tanesha Goldwire Tutt, DHED, LMSW, CHES

Primary specialty

Social WorkerTaxonomy code 104100000X

License

MSW009698 Issued in GA

Practice address

3823 Rod PL
Lawrenceville, GA 30044-3367

Phone

(678) 860-5953

NPI assigned

Nov 6, 2023

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

Other names 1

• Tanesha S Goldwire Former name

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": "1699228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1235902883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300910042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3823 ROD PL",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300443367",
            "telephone_number": "678-860-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTT",
        "first_name": "TANESHA",
        "middle_name": "GOLDWIRE",
        "credential": "DHED, LMSW, CHES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "GA",
            "license": "20541",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW009698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANESHA",
            "last_name": "GOLDWIRE",
            "middle_name": "S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emily Simone Turner-Bryant
• Jeffery E. Turner, D.M.D.
• Reaysha Turner
• Wanda Turner
• Suzanne Alexa Turry, PA-C
• Tracey Marie Tuttle, AGACNP
• Twins Caring Hands LLC
• Alexis Tyler
• Robyn Leigh Tynan, PHYSICAL THERAPIST
• Tinisha Tyre

• Social Worker in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.