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

Tequilla Brew-Chann

Individual provider Clinical Social Worker · NPI 1467209437

Tequilla Brew-Chann is a Clinical Social Worker in Canton, Georgia. Licensed in California, Georgia, Texas and Washington. Registered with an NPI since 2024.

Licensed in
CA, GA, TX, WA
In the registry since
2024
Specialties on file
4

Practice location Address checks out

133 Stargaze Rdg
Canton, GA 30114-5149
Phone: (999) 999-9999
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW008717 (GA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 103578 (TX)
Clinical Social Worker Taxonomy 1041C0700X · Licence LW61014204 (WA)
Clinical Social Worker Taxonomy 1041C0700X · Licence LCSW95036 (CA)

Record details

NPI number1467209437
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 6, 2024
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 2025
Mailing address133 Stargaze Rdg, Canton, GA 30114-5149

Other providers in Canton