Healthcare Provider Details
I. General information
NPI: 1740070937
Provider Name (Legal Business Name): TESEWARD LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/09/2025
Last Update Date: 09/14/2025
Certification Date: 09/14/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
300 E 17TH ST S
NEWTON IA
50208-4056
US
IV. Provider business mailing address
300 E 17TH ST S STE 100
NEWTON IA
50208-4053
US
V. Phone/Fax
- Phone: 828-712-3000
- Fax:
- Phone: 641-841-0447
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
TERESA
E
SEWARD
Title or Position: OWNER
Credential: LISW
Phone: 641-841-0447