Hawa Sitaha Tandia, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

158419 Issued in AK

Practice address

5411 Mockingbird Dr Apt 315
Anchorage, AK 99507-1690

Phone

(202) 417-7626

NPI assigned

Mar 1, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Wahlira Sitaha Tandjah Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1376138404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PROVIDENCE HEALTH SYSTEMS BREAKTHROUGH",
            "address_2": "3760 PIPER STREET",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-212-6972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 MOCKINGBIRD DR APT 315",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071690",
            "telephone_number": "202-417-7626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Providence Health Systems Breakthrough",
            "address_2": "3760 Piper Street",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995089950",
            "country_code": "US",
            "telephone_number": "907-212-6972",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "336 S Main St Ste 1C",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "210143978",
            "country_code": "US",
            "telephone_number": "800-639-8783",
            "fax_number": "443-403-0734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANDIA",
        "first_name": "HAWA",
        "middle_name": "SITAHA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-01",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "25448",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "25448",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "158419",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AK",
            "license": "158419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "16103950",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WAHLIRA",
            "last_name": "TANDJAH",
            "middle_name": "SITAHA",
            "credential": "LMSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Christine Amy Tan Cadogan, MD
• Claribel K Tan, M.D.
• Lian Liew Tan, SLP
• Jean Tanaka
• Noel Tanap
• Mia Melanie Ambrocio Tandoc, RDH
• Daniel Tandy
• Tang Eyecare Inc
• Pattie Tang, O.D.
• Quyen Tang, PSYD

• Social Worker in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Social Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.