Audrey Tyszka, LCSW, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

AUDREY TYSZKA, LCSW, PLLC

Practice address

44 Oswego St
Baldwinsville, NY 13027-2471

Phone

(315) 703-2839

NPI assigned

Dec 13, 2020

Last updated

Dec 6, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ginny Reneau

Title

Insurance Consultant

Phone

(315) 956-0935

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Audrey Irene Tyszka, LCSW-R

  • Clinical Social Worker
  • Baldwinsville, NY
  • NPI 1184976805
  Medicare reassignment NPD

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

{
    "created_epoch": "1607817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1285220319",
    "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": "315-703-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDREY TYSZKA, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-13",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "RENEAU",
        "authorized_official_first_name": "GINNY",
        "authorized_official_title_or_position": "INSURANCE CONSULTANT",
        "authorized_official_telephone_number": "315-956-0935"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Kathleen Anderson
• Sandra Jayne Annicharico, R.N.
• Danelle Marie Atkins, REGISTERED NURSE
• Elisabeth Auburn
• Audiology Services Company USA, LLC
• Lana Augustus, RN
• Melissa D Badon, MS CCC-SLP
• Sarah M Baidel
• Baldwinsville Central School District
• Baldwinsville Chiropractic PC

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.