Alicia Tetteh, ASW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C010048 Issued in NC

Practice address

2301 Colley Ave # 6101
Norfolk, VA 23517-1144

Phone

(980) 288-5486

Fax

(704) 247-5355

NPI assigned

Oct 31, 2012

Sex

Female

Sole proprietor

No

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

Enrolled in NC

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Building Endurance

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1184179087
  NPD Authorized official

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

{
    "created_epoch": "1351641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1417201310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 COLLEY AVE # 6101",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235171144",
            "telephone_number": "980-288-5486",
            "fax_number": "704-247-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 COLLEY AVE # 6101",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235171144",
            "telephone_number": "980-288-5486",
            "fax_number": "704-247-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TETTEH",
        "first_name": "ALICIA",
        "credential": "ASW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-31",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C010048",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904017643",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Richard Temple II, DC
• Cherry Renea Terrell
• Terrinda Alston, PLLC
• Aviana Nicole Terschueren, DO
• Kawika M Terukina, M.D.
• Ramya Thammineni
• Josna Thankachan, MDS
• Lewis Hulon Tharp
• The Albero House
• The B&T Group, LLC

• Clinical Social Worker in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.