Geneva R. Tiggle, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

110601 Issued in MA

Practice address

930 Massachusetts Ave
Cambridge, MA 02139-3234

Phone

(617) 529-2014

Fax

(617) 844-1606

NPI assigned

Aug 31, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Brightside Medical PCGroup PAC ID 6608262464, 274 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25068/brand/1/csg/1/fhir/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.

• Brightside Medical, P.C.

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1801355482

  MD

  Medicare reassignment Care Compare group NPD
• Protelix Health Clinic

  • Clinical Social Worker
  • Lutherville Timonium, MD
  • NPI 1093498453
  NPD
• Jayme Shorin Licsw

  • Clinical Social Worker
  • Cambridge, MA
  • NPI 1245943943
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427169333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HAMPSHIRE RD",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017022335",
            "telephone_number": "617-529-2014",
            "fax_number": "617-844-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 MASSACHUSETTS AVE",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393234",
            "telephone_number": "617-529-2014",
            "fax_number": "617-844-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIGGLE",
        "first_name": "GENEVA",
        "middle_name": "R.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "110601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1854674",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Thurber, BSN RN
• Tami Olive Tiamfook-Morgan, M.D.
• Peter Zhimin Tian, D.M.D.
• Rachel A Tiano, PA-C
• Taia Maria Tieland, PA-C
• Megan Tiley
• Arno William Tilles, MD
• Aashna Tilve, PT, DPT
• Kevork Tinkjian, OPTICIAN( ABO)
• Rodrigo Tirado, M.D.

• Clinical Social Worker in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.