Active NPI
Tina Toltzien, LCSW
- Clinical Social Worker
- Madison, WI
National Provider Identifier
1285240499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11510
- Practice address
- 2453 Atwood Ave Ste 101a
Madison, WI 53704-5655 - Phone
- (608) 692-1202
- NPI assigned
- Sep 22, 2020
- Last updated
- Dec 30, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 11510 | WI | Primary |
Addresses
Primary practice location
2453 Atwood Ave Ste 101a
Madison, WI 53704-5655
Mailing address
2453 Atwood Ave Ste 101a
Madison, WI 53704-5655
Phone (608) 218-1533
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 15, 2025 through Nov 15, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11510 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703894400000",
"number": "1285240499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2453 ATWOOD AVE STE 101A",
"city": "MADISON",
"state": "WI",
"postal_code": "537045655",
"telephone_number": "608-218-1533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2453 ATWOOD AVE STE 101A",
"city": "MADISON",
"state": "WI",
"postal_code": "537045655",
"telephone_number": "608-692-1202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLTZIEN",
"first_name": "TINA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-22",
"last_updated": "2023-12-30",
"certification_date": "2023-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "11510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.