Provider Demographics
NPI:1073944963
Name:TESTI, GARRETT MICHAEL SR (LCSWA, LCASA)
Entity Type:Individual
Prefix:MR
First Name:GARRETT
Middle Name:MICHAEL
Last Name:TESTI
Suffix:SR
Gender:M
Credentials:LCSWA, LCASA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 DEER RUN
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:NC
Mailing Address - Zip Code:28570-9554
Mailing Address - Country:US
Mailing Address - Phone:252-223-0147
Mailing Address - Fax:
Practice Address - Street 1:305 COMMERCE AVE STE 102
Practice Address - Street 2:
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-2971
Practice Address - Country:US
Practice Address - Phone:252-773-0195
Practice Address - Fax:252-773-0214
Is Sole Proprietor?:No
Enumeration Date:2013-12-03
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS-26253101YA0400X
NCP0160621041C0700X
NCP008481104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical