Jessica D. Tuggle, LCSW
Individual provider Active NPI Clinical Social Worker · Atlanta, GA
NPI 1609433143 · NPPES record last updated Nov 7, 2024
Key facts
- NPI
- 1609433143
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- CSW008096 (GA)
- Practice address
- 5887 Glenridge Dr Ste 230
Atlanta, GA 30328-9929 - Phone
- (470) 592-8601
- NPI assigned
- May 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW008096 | GA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Atlanta Recovery Residences, Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW008096 | GA | Yes |
Addresses
Primary practice location
5887 Glenridge Dr Ste 230
Atlanta, GA 30328-9929
Mailing address
3900 Crown Rd SW # 16709
Atlanta, GA 30304-0001
Other practice location 1
12976 Cumming Hwy
Canton, GA 30115-4854
Phone (470) 592-8601
Other practice location 2
540 Avala Ct
Alpharetta, GA 30022-5576
Phone (470) 592-8601
Other providers in Atlanta, GA
- Sonjia L. Tucker
- Thomas S. Tucker
- Whitley Tucker
- Kimberly Tufton
- James Madison Avery Tuggle
- Karleena Regina-Marie Tuggle
- Anni Kaarina Tuikka
- Cathleen H. Tuley
- Christina Manuela Tull
- Cavetta Suchetta Tulloch-Lewis
All providers in Atlanta, GA · Clinical Social Worker in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.