Jenna Teso, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LCSW-17506 Issued in AZ

Practice address

4560 E Broadway Blvd Ste 223
Tucson, AZ 85711-3558

Phone

(520) 528-6534

NPI assigned

Nov 6, 2018

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

Other names 1

• Jenna Williamson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Rising Moon Therapeutic Services LLC

  • Clinical Social Worker
  • Tucson, AZ
  • NPI 1922567775
  NPD Authorized official

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1659849842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 E OLD SPANISH TRL APT 17",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857104371",
            "telephone_number": "520-528-6534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 E BROADWAY BLVD STE 223",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113558",
            "telephone_number": "520-528-6534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESO",
        "first_name": "JENNA",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-06",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "LCSW-17506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "WILLIAMSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katherine C Tesch
• Selamawit Kebede Tesema, MD
• Ruta Niguse Tesfamicael, M.D.
• Amanda M. Teske, FNP-C
• Phoebe Teskey
• Christina Valley Testa, MA
• Eric Testa
• Courtney Tetlow
• David Tetrault, OD
• Carol A Tetrick, RN

• Social Worker in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.