Provider Demographics
NPI:1184792384
Name:SADLER, TESSIE SMITH (LCSW)
Entity type:Individual
Prefix:MRS
First Name:TESSIE
Middle Name:SMITH
Last Name:SADLER
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:PO BOX 662
Mailing Address - Street 2:
Mailing Address - City:SOUTH HILL
Mailing Address - State:VA
Mailing Address - Zip Code:23970-0662
Mailing Address - Country:US
Mailing Address - Phone:434-774-7559
Mailing Address - Fax:434-774-7559
Practice Address - Street 1:306 E ATLANTIC ST
Practice Address - Street 2:
Practice Address - City:SOUTH HILL
Practice Address - State:VA
Practice Address - Zip Code:23970-2006
Practice Address - Country:US
Practice Address - Phone:434-774-7559
Practice Address - Fax:434-774-7559
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040060711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical