Tedra L Hall, LICSW
Social Worker, Clinical in Jamaica Plain, Massachusetts
1700469087- Practice location
- 11 Green St, Jamaica Plain, MA 02130-2588
- Phone
- 800-764-4806
- Fax
- —
- Last updated
- December 4, 2025
Tedra Lynn Hall is a Social Worker, Clinical based in Jamaica Plain, MA. Tedra Lynn Hall practices in Jamaica Plain, MA and has the professional credentials of LICSW. The NPI Number for Tedra Lynn Hall is 1700469087 and holds a License No. 128606 (MA). The current practice location address for Tedra Lynn Hall is 11 Green St, Jamaica Plain, MA 02130-2588 and can be reached out via phone at 800-764-4806.
Provider Profile Details
- NPI Number
- 1700469087
- Provider Name
- Tedra Lynn Hall
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 11 Green St, Jamaica Plain, MA 02130-2588
- Phone Number
- 800-764-4806
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Other Names
- Tedra Halzel (Former Name)
- Provider Enumeration Date
- May 4, 2021
- Last Update Date
- December 4, 2025
- Certification Date
- December 4, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11 Green St
Jamaica Plain, MA 02130-2588 - City
- Jamaica Plain
- State
- Massachusetts
- Zip
- 02130-2588
- Phone Number
- 800-764-4806
Provider Business Mailing Address Details
- Address
- 11 Green St
Jamaica Plain, MA 02130-2588 - City
- Jamaica Plain
- State
- MA
- Zip
- 02130-2588
- Phone Number
- 800-764-4806
License Information
- License Number
- 128606
- License State
- MA
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Jamaica Plain, MA
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Frequently Asked Questions
What is the NPI number of Tedra L Hall, LICSW?
The NPI number of Tedra L Hall, LICSW is 1700469087. It was assigned on May 4, 2021 and is currently active in the NPPES registry.
What is the specialty of Tedra L Hall, LICSW?
Tedra L Hall, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 128606.
Where does Tedra L Hall, LICSW practice?
The practice location is 11 Green St, Jamaica Plain, MA 02130-2588. The office can be reached at 800-764-4806 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1700469087 directly on the NPPES registry website.