Provider Demographics
NPI:1851904106
Name:WOOD, TESWAR (LCSW)
Entity Type:Individual
Prefix:MR
First Name:TESWAR
Middle Name:
Last Name:WOOD
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2325 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22903-3613
Mailing Address - Country:US
Mailing Address - Phone:434-531-2698
Mailing Address - Fax:
Practice Address - Street 1:2325 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-3613
Practice Address - Country:US
Practice Address - Phone:434-531-2698
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-26
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0904010858OtherLCSW LICENSE NUMBER