Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer Tisdale

Individual provider Clinical Social Worker · NPI 1700443843

Jennifer Tisdale is a Clinical Social Worker in Garner, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2019
Specialties on file
2

Practice location Address checks out

136 US 70 Hwy E
Garner, NC 27529-3982
Phone: (919) 791-5611
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence PO13258 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence C017933 (NC)

Record details

NPI number1700443843
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 23, 2019
Last updated in NPPESDecember 26, 2024
Certification dateDecember 26, 2024
Mailing address1107 Mordecai Dr Apt 202, Raleigh, NC 27604-1357

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