Tanya Tijerina, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

C-08274 Issued in NM

Practice address

10500 Coyote Canyon PL NW
Albuquerque, NM 87114-5948

Phone

(505) 203-5328

NPI assigned

Jun 30, 2011

Last updated

Aug 6, 2023By 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

Practice roles

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.

• Dragonfly Counseling Associates Inc.

  • Community/Behavioral Health Agency
  • Albuquerque, NM
  • NPI 1033230818
  NPD (past)

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691280000000",
    "number": "1255628061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10500 COYOTE CANYON PL NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145948",
            "telephone_number": "505-203-5328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 COYOTE CANYON PL NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145948",
            "telephone_number": "505-203-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIJERINA",
        "first_name": "TANYA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-30",
        "last_updated": "2023-08-06",
        "certification_date": "2023-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "C-08274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter King Tiernan Jr., MD,MPH, LTC USAFR
• Patricia Tieszen, SLP
• Cindy Tietz, L.M.T
• Elizabeth Tigges, PHD CPNP
• Veronica Tighe
• Jessica Tilbury, PHARMD
• Tiley's Toothfairies
• Kellie Dawn Tillerson, BS
• Kory A Tillery, MD
• Kathy F. Tilley, MA, RN, LPCC

• Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2023; 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.