Tew Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C6882 Issued in MS

Legal business name

TEW COUNSELING LLC

Practice address

4500 I 55 N Ste 216
Jackson, MS 39211-5931

Phone

(601) 718-0328

NPI assigned

Apr 14, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Nicholas Lamar Tew, LCSW

Title

Owner

Phone

(601) 718-0328

Specialties & licenses 1

Addresses

Other names 1

• Revive Counseling Doing business as

Locations

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

{
    "created_epoch": "1523664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523664000000",
    "number": "1326535477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 I 55 N STE 216",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392115931",
            "telephone_number": "601-718-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 I 55 N STE 216",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392115931",
            "telephone_number": "601-718-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEW COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-14",
        "last_updated": "2018-04-14",
        "status": "A",
        "authorized_official_last_name": "TEW",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "LAMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-718-0328",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C6882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revive Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Frederick Marvin Terry
• Jason Douglas Terry
• Maricyl Terry
• Sharon L Terry, LPC
• Sylvia L Terry, RN
• Nicholas L Tew, LMSW
• William Tew, M.D.
• Anson L Thaggard, MD
• David Grant Thaggard
• Vita Thaggard

• Clinical Social Worker in Jackson, MS
• Providers in Jackson, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2018; 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.