Linda M. Tiso, MSW, LCSW, SAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6969-123 Issued in WI

Practice address

3535 30TH Ave
Suite 202
Kenosha, WI 53144-1632

Phone

(262) 842-0500

Fax

(262) 842-0502

NPI assigned

Jul 20, 2006

Last updated

May 26, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Horizon Healthcare, Inc

  • Mental Health Counselor
  • Greenfield, WI
  • NPI 1043234628

  Addiction (Substance Use Disorder)

  NPD (past)
• Oakwood Clinical Associates, LTD

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kenosha, WI
  • NPI 1447289434

  Addiction (Substance Use Disorder)

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211760000000",
    "number": "1013937341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 N JANACEK RD",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530456102",
            "telephone_number": "262-641-9050",
            "fax_number": "262-641-9126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 30TH AVE",
            "address_2": "SUITE 202",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441632",
            "telephone_number": "262-842-0500",
            "fax_number": "262-842-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TISO",
        "first_name": "LINDA",
        "middle_name": "M.",
        "credential": "MSW, LCSW, SAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "12605-131",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "6969-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40910600",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE, ELKHORN PTAN",
            "identifier": "001084974",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn A Tigue
• Tina Marie Tihen, PHYSICAL THERAPIST A
• Timemen Health Care LLC
• Maebel Y Tinoko
• Mark R Tisdale, PTA
• Tobin Jacob Tito, APN-CNP
• Todd's Companionplus Inc.
• Todd's Companionplus, Inc. (TCP Home Health Care)
• Brenda Lynn Tolefree
• La Shanda Tolefree, BA, MS

• Clinical Social Worker in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.