Tiana Monique Fitzsimmons, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

20944 Issued in MN

Practice address

1306 Marshall St
Saint Peter, MN 56082-4500

Phone

(507) 931-8040

Fax

(507) 931-8060

NPI assigned

Feb 23, 2018

Last updated

May 3, 2018By 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 1

Addresses

Other identifiers 1

Other names 1

• Tiana Woitas Former name

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Counseling Services of Southern Minnesota, Inc

  • Clinical Social Worker
  • Saint Peter, MN
  • NPI 1962557496
  Medicare reassignment NPD

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525305600000",
    "number": "1073014262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 MARSHALL ST",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560824500",
            "telephone_number": "507-931-8040",
            "fax_number": "507-931-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 MARSHALL ST",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560824500",
            "telephone_number": "507-931-8040",
            "fax_number": "507-931-8060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "226 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Mankato",
            "state": "MN",
            "postal_code": "560013520",
            "country_code": "US",
            "telephone_number": "507-931-8040",
            "fax_number": "507-931-8060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "760 Elmwood Ave S",
            "address_purpose": "LOCATION",
            "city": "Le Sueur",
            "state": "MN",
            "postal_code": "560582169",
            "country_code": "US",
            "telephone_number": "507-931-8040",
            "fax_number": "507-931-8060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITZSIMMONS",
        "first_name": "TIANA",
        "middle_name": "MONIQUE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-23",
        "last_updated": "2018-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "20944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICSW",
            "identifier": "20944",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIANA",
            "last_name": "WOITAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emily Ann Evan, PHARMD
• Stefania Faraca
• Joseph Robert Finn, PHD, LP
• Kendra Lee Finn, DO
• Katelyn Fischbach, MS, LAT, ATC
• Kristina Flattum
• Gabrielle Flesher, PHARMD
• James A Folden, RPH
• Foot & Ankle Clinic of St. Peter, Inc.
• Lisa Lee Fox, LICSW

• Clinical Social Worker in Saint Peter, MN
• Providers in Saint Peter, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.