Ryan Kim Tieu, ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ASW90426 Issued in CA

Practice address

2020 29TH St Ste 201
Sacramento, CA 95817-1119

Phone

(916) 455-2391

NPI assigned

Jan 23, 2015

Last updated

Aug 2, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

State licenses

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.

• Asian and Pacific Islander Wellness Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • San Francisco, CA
  • NPI 1376798413
  Medicare reassignment NPD
• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846
  Medicare reassignment NPD
• Asian and Pacific Islander Wellness Center, Inc.

  dba San Francisco Community Health Center

  • Federally Qualified Health Center (FQHC)
  • San Francisco, CA
  • NPI 1225734650
  NPD
• Asian and Pacific Islander Wellness Center, Inc.

  • Community Health Clinic/Center
  • San Francisco, CA
  • NPI 1922528694
  NPD
• Gender Health Center

  • Community/Behavioral Health Agency
  • Sacramento, CA
  • NPI 1619394897
  NPD (past)

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596326400000",
    "number": "1104216597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3323 W ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 29TH ST STE 201",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171119",
            "telephone_number": "916-455-2391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIEU",
        "first_name": "RYAN",
        "middle_name": "KIM",
        "credential": "ACSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-23",
        "last_updated": "2020-08-02",
        "certification_date": "2020-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW90426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Tidwell
• Mark Tidyman, M.D.
• Joseph W Tien, RRT
• Haley Tierney
• Jessica Linda Tietjen
• Tiffani's Doula Services LLC
• Tiffanie J.Sun, D.D.S.Professional Corp (Natomas Family Dentistry)
• Tiffany Tran
• Roger Tiffer
• Shanelle Monique Tigner

• Clinical Social Worker in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2020; 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.