Individual provider · Type 1 NPI

Jesse Tallyen, LMSW, LCDP, CADC

Clinical Social Worker · Millsboro, DE

NPI number 1881557767 Active

Practice location

24077 Country Living Rd Ste 2
Millsboro, DE 19966-3188

Fax (302) 224-1402

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XCD-0010151 (DE)
Clinical Social Worker Primary 1041C0700XQ1-0012889 (DE)

Clinical Social Worker: A 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 licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1881557767

Jesse Tallyen, LMSW, LCDP, CADC's National Provider Identifier is 1881557767, issued on Dec 8, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Millsboro, DE. The record was last updated on Feb 27, 2026.