Tessa Jean Gardner, LCSWA, LCASA - in Shallotte, NC

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Tessa Jean Gardner, LCSWA, LCASA is a Counselor - Addiction (substance Use Disorder) based in Shallotte, North Carolina. Tessa Jean Gardner is licensed to practice in North Carolina (license number LCAS-27486) and her current practice location is 120 Coastal Horizons Dr, Shallotte, North Carolina. She can be reached at her office (for appointments etc.) via phone at (910) 754-4515.

NPI number for Tessa Jean Gardner is 1851960256 and her current mailing address is 615 Shipyard Blvd, Wilmington, North Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1851960256.

Contact Information

Tessa Jean Gardner, LCSWA, LCASA
120 Coastal Horizons Dr,
Shallotte, NC 28470-6094
(910) 754-4515
(910) 202-9966

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Healthcare Provider's Profile

Full NameTessa Jean Gardner
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location120 Coastal Horizons Dr, Shallotte, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1851960256
  • Provider Enumeration Date: 06/21/2021
  • Last Update Date: 07/07/2021

Medical Identifiers

Medical identifiers for Tessa Jean Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851960256NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical P016433 (North Carolina)Secondary
101YA0400XCounselor - Addiction (substance Use Disorder) LCAS-27486 (North Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tessa Jean Gardner is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tessa Jean Gardner, LCSWA, LCASA
615 Shipyard Blvd,
Wilmington, NC 28412-6431

Ph: (910) 343-0145		Tessa Jean Gardner, LCSWA, LCASA
120 Coastal Horizons Dr,
Shallotte, NC 28470-6094

Ph: (910) 754-4515

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