Provider Demographics
NPI:1912968736
Name:RASCH, TESSA K (LCSW)
Entity type:Individual
Prefix:MS
First Name:TESSA
Middle Name:K
Last Name:RASCH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:182 FOOTHILLS TRL
Mailing Address - Street 2:
Mailing Address - City:BLAIRSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30512-0692
Mailing Address - Country:US
Mailing Address - Phone:706-897-4745
Mailing Address - Fax:
Practice Address - Street 1:225 VALLEY RIVER AVE STE H
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:NC
Practice Address - Zip Code:28906-3000
Practice Address - Country:US
Practice Address - Phone:706-897-4745
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2025-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0189561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA80BBGDWMedicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
GAR38765Medicare UPIN