Jessica Marie Twaddle

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C009392 Issued in NC

Practice address

3707 Latrobe Dr Ste 440
Charlotte, NC 28211-1361

Phone

(704) 526-5843

NPI assigned

Oct 9, 2014

Last updated

Jul 24, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1412812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437696000000",
    "number": "1528462249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9141 CARNEROS CREEK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282142285",
            "telephone_number": "704-526-5843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 LATROBE DR STE 440",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111361",
            "telephone_number": "704-526-5843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWADDLE",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-09",
        "last_updated": "2015-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Tuttle, LCMHC
• Priscilla Tutu
• Victoria Tuzzo
• Mackenzie Tuzzolo, MD
• TVS Hearing of South Charlotte, LLC. (Zounds Hearing)
• Joann Tweh, PHARMD
• Kwaku Tweneboah
• Christine D Twerdi, MD
• Felicia Marie Twiford, ATC, LAT
• Madalyn Olivia Twist, LCSWA

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; 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.