Provider Demographics
NPI:1326569336
Name:TILLEY-COMPTON, JESSIE LEIGH (LCSW-A)
Entity Type:Individual
Prefix:MRS
First Name:JESSIE
Middle Name:LEIGH
Last Name:TILLEY-COMPTON
Suffix:
Gender:F
Credentials:LCSW-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1765 MOUNTAIN CREEK RD
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27565-8230
Mailing Address - Country:US
Mailing Address - Phone:919-691-4478
Mailing Address - Fax:
Practice Address - Street 1:1765 MOUNTAIN CREEK RD
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:NC
Practice Address - Zip Code:27565-8230
Practice Address - Country:US
Practice Address - Phone:919-691-4478
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-29
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical