Audrey Irene Tyszka, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

44 Oswego St
Baldwinsville, NY 13027-2471

Phone

(315) 396-4241

NPI assigned

Oct 4, 2012

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

Medicare fee-for-service enrollment

Enrolled in NY

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 and National Provider Directory roles.

• Audrey Tyszka, LCSW, PLLC

  • Clinical Social Worker
  • Baldwinsville, NY
  • NPI 1285220319
  Medicare reassignment NPD
• St Josephs Hospital Health Center

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1508815333
  Medicare reassignment NPD
• St Joseph'S Hospital Health Center

  • Internal Medicine Physician
  • Syracuse, NY
  • NPI 1699832436
  NPD

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

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1184976805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 OSWEGO ST",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130272471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 OSWEGO ST",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130272471",
            "telephone_number": "315-396-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYSZKA",
        "first_name": "AUDREY",
        "middle_name": "IRENE",
        "name_prefix": "Miss",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-04",
        "last_updated": "2021-12-06",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Truley
• Pamela Maree Tucker, PT, DPT
• Meghan M Turley, DPT
• Jeanette Courtney Tyler, OTR/L
• Sarah Jane Tyner, MSN, RN, NNP
• University Hospital
• Upstate Chiropractic, PC
• Upstate Psychiatric Care
• Upstate Psychiatry, PC
• Urgent Medical Care of Syracuse P.C.

• Clinical Social Worker in Baldwinsville, NY
• Providers in Baldwinsville, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.