Individual provider Active NPI

Tessa Tierson, LCSW

  • Clinical Social Worker
  • Dover, DE
National Provider Identifier
1225831720
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0012631 Issued in DE
Practice address
1673 S State St Ste 2
Dover, DE 19901-5148
Phone
(302) 450-3217
Fax
(302) 883-8192
NPI assigned
Mar 31, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Q1-0012631 DE Primary

Addresses

Primary practice location

1673 S State St Ste 2
Dover, DE 19901-5148

Mailing address

25 Maggies Way Ste 2
Dover, DE 19901-4896
Phone (302) 450-3217

Other practice location 1

25 Maggies Way Ste 2
Dover, DE 19901-4896
Phone (302) 450-3217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
Q1-0012631DEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Speech Therapy, LLC CurrentSince Apr 6, 2025 Accepting new patients

Locations

25 Maggies Way
Ste 2
Dover, DE 19901
Phone (302) 450-3217

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1225831720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MAGGIES WAY STE 2",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014896",
            "telephone_number": "302-450-3217",
            "fax_number": "302-883-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1673 S STATE ST STE 2",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199015148",
            "telephone_number": "302-450-3217",
            "fax_number": "302-883-8192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Maggies Way Ste 2",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199014896",
            "country_code": "US",
            "telephone_number": "302-450-3217",
            "fax_number": "302-883-8192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIERSON",
        "first_name": "TESSA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0012631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.