NPI age
7 years
Enumerated 2019-03-15
● Active
Type 1 · Individual
Kathleen Deal Tatum, LCSW
Tatum is 1 of 10 social worker providers in Jesup and 1 of 5654 in Georgia.
Primary specialty
Social Worker
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-07-16
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 5654 active social worker providers in Georgia.
NPI age
7 years
↓ 2 yr below median (9 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties
NPI lifetime · 2019 → 2026
2019-03Enumerated in NPPES
2019
2026
Where they practice
Practice location
296 Turpentine Cir
Jesup, GA 315452574
Mailing address
296 Turpentine Cir
Jesup, GA 315452574
Specialties
-
Social Worker PrimaryA social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | CSW008165 | STATE LICENSE |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.