Tijen Dyson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149-013091 Issued in IL

Practice address

1322 Oakton St
Evanston, IL 60202-2719

Phone

(847) 868-3298

NPI assigned

Apr 20, 2009

Last updated

Jan 24, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1225272388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7104 N DAMEN AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606452450",
            "telephone_number": "773-404-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 OAKTON ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602022719",
            "telephone_number": "847-868-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYSON",
        "first_name": "TIJEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-20",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-013091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Ann Dwyer, DPT
• Patricia Marie Dwyer, LCPC
• Timothy F. Dwyer, PH.D.
• Michal Rachel Dymarsky, DPT
• Nicole Dyme, D.D.S.
• Elene Dzodzuashvili
• Sandra Elizabeth Eastman, LCSW
• Maranda Easton, LCSW
• John Warren Ebersole, M.D.
• John H. Ebihara, MD

• Clinical Social Worker in Evanston, IL
• Providers in Evanston, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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.