Individual provider Active NPI

Jessica Chastain Tewell, MSW, M.DIV., LCSW

  • Clinical Social Worker
  • Tiger, GA
National Provider Identifier
1386084424
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW009497 Issued in GA
Practice address
901 Tiger Connector
Tiger, GA 30576-2301
Phone
(706) 782-0459
NPI assigned
Jul 3, 2013
Last updated
Jul 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904017159 VA
Clinical Social Worker 1041C0700X C009647 NC
Clinical Social Worker 1041C0700X CSW009497 GA Primary

Addresses

Primary practice location

901 Tiger Connector
Tiger, GA 30576-2301

Mailing address

23 Caledonia Dr
Franklin, NC 28734-1797
Phone (828) 361-7901

Other practice location 1

2255 Old Murphy Rd Ste 104
Franklin, NC 28734-7205
Phone (828) 361-7901

Other practice location 2

23 Caledonia Dr
Franklin, NC 28734-1797
Phone (828) 361-7901

Other identifiers 3

IdentifierTypeStateIssuer
C009647OtherNCNORTH CAROLINA BOARD OF SOCIAL WORK LICENSURE AND CERTIFICATION
0904017159OtherVAVIRGINIA BOARD OF SOCIAL WORKERS
CSW009497OtherGAGA BOARD OF COUNSELORS, SOCIAL WORKERS, AND MARRIAGE AND FAMILY THERAPISTS

Other names 1

  • Ms. Jessica Lynne Chastain Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151007003210 NC Practitioner - Clinical Social Worker 9739497991 Practice locations: Franklin, NC
I20250707003960 GA Practitioner - Clinical Social Worker 9739497991 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2255 Old Murphy Rd
Suite 104
Franklin, NC 28734-7205
Phone (828) 361-7901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904017159VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Resources Management of Rabun, LLC CurrentSince Jan 1, 2026 Accepting new patients
Journey to Change Therapy, PLLC Clinical CurrentSince Sep 1, 2024 Accepting new patients
Marvin Behavioral Health Ma PC Clinical Past Accepting new patients

Locations

162 Legacy Pt
Clayton, GA 30525
Phone (706) 782-0408

2255 Old Murphy Rd
Ste 104
Franklin, NC 28734
Phone (828) 361-7900

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1386084424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CALEDONIA DR",
            "city": "FRANKLIN",
            "state": "NC",
            "postal_code": "287341797",
            "telephone_number": "828-361-7901",
            "fax_number": "828-837-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 TIGER CONNECTOR",
            "city": "TIGER",
            "state": "GA",
            "postal_code": "305762301",
            "telephone_number": "706-782-0459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2255 Old Murphy Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "NC",
            "postal_code": "287347205",
            "country_code": "US",
            "telephone_number": "828-361-7901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23 Caledonia Dr",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "NC",
            "postal_code": "287341797",
            "country_code": "US",
            "telephone_number": "828-361-7901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEWELL",
        "first_name": "JESSICA",
        "middle_name": "CHASTAIN",
        "name_prefix": "Mrs.",
        "credential": "MSW, M.DIV., LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-03",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904017159",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009647",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW009497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA BOARD OF SOCIAL WORK LICENSURE AND CERTIFICATION",
            "identifier": "C009647",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA BOARD OF SOCIAL WORKERS",
            "identifier": "0904017159",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA BOARD OF COUNSELORS, SOCIAL WORKERS, AND MARRIAGE AND FAMILY THERAPISTS",
            "identifier": "CSW009497",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "CHASTAIN",
            "middle_name": "LYNNE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tiger, GA

Sources for this page

Verify at the official NPI Registry.