Colleen Jeske Tetsworth, LCAS, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P007411 Issued in NC

Practice address

1002 S Eugene St
Greensboro, NC 27406-1308

Phone

(336) 355-9920

NPI assigned

Dec 27, 2013

Last updated

Jun 11, 2014By 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 2

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": "1388102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1811318413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 S EUGENE ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274061308",
            "telephone_number": "336-355-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 S EUGENE ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274061308",
            "telephone_number": "336-355-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TETSWORTH",
        "first_name": "COLLEEN",
        "middle_name": "JESKE",
        "name_prefix": "Mrs.",
        "credential": "LCAS, LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-27",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-3107",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P007411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Terry, NP
• Luwam Tesfa
• Ruth Berhane Tesfalidet, DNP
• Yoab Tesfayohanes
• Mary Louise Tesh, MA, CCC-SLP
• Kristina Marie Teutonico, PA-C
• Thane C. Hisaw, DMD, PA
• Sudan Thapa, MD
• That Advocate Lady
• Irene Thomas Thayil, PA-C

• Clinical Social Worker in Greensboro, NC
• Providers in Greensboro, 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 Jun 11, 2014; 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.