Lisa A Tietchen, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

2209 Issued in SD

Practice address

2094 Albany Post Road
Suite 100
Montrose, NY 10548

Phone

(914) 737-4400

NPI assigned

Dec 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lisa A Schmidbauer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/lsssd/r4/

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.

• Lutheran Social Services of South Dakota Inc

  • Voluntary or Charitable Agency
  • Sioux Falls, SD
  • NPI 1194885723
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325203200000",
    "number": "1316009905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2094 ALBANY POST ROAD",
            "address_2": "SUITE 100",
            "city": "MONTROSE",
            "state": "NY",
            "postal_code": "10548",
            "telephone_number": "914-737-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2094 ALBANY POST ROAD",
            "address_2": "SUITE 100",
            "city": "MONTROSE",
            "state": "NY",
            "postal_code": "10548",
            "telephone_number": "914-737-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIETCHEN",
        "first_name": "LISA",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2011-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SD",
            "license": "2209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "SCHMIDBAUER",
            "middle_name": "A",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark Thoma, MD
• Kelly H. Thomann, O.D.
• Latoya Thomas Merchant
• Rhona Denise Thompson, RD, CDN
• Pamela Jean Tiavises, PHARMD
• Grace Ann Tilearcio
• Conception Tirado, RD
• Yamilex Anais Tomala
• Margaret Ann Tornello
• Amanda Tran

• Social Worker in Montrose, NY
• Providers in Montrose, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; 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.