Jessica Tingley, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C-12156 Issued in NM

Practice address

10739 Chaco Terrace St NW
Albuquerque, NM 87114-6115

Phone

(320) 522-3445

Fax

(866) 667-2514

NPI assigned

May 21, 2024

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

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jessica.tingley.2@23300.direct.athenahealth.com

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.

• Brave Health Medical Group PA

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1225669161

  MN

  Medicare reassignment NPD
• Twin Pines Counseling

  • Professional Counselor
  • Albuquerque, NM
  • NPI 1255295051
  NPD (past)

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1477392280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7519 GOSHAWK AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871143573",
            "telephone_number": "505-948-8176",
            "fax_number": "866-667-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10739 CHACO TERRACE ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871146115",
            "telephone_number": "320-522-3445",
            "fax_number": "866-667-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINGLEY",
        "first_name": "JESSICA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-21",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-12156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy M. Kelly, DMD, PA
• Elyse Nicole Timothy, SLP
• Ashley Elizabeth Tindel, PHARMD
• Jonathan P Ting, RDH
• Benjamin Todd Tingey, DMD
• Ryan Jerome Tingley, PROVISIONAL LMHC
• Katherine Armstrong Tinker, RPH
• Emily Allison Tinsman, MS, CCC-SLP
• Rachel Tintera, MD
• Ajit S Tipirneni

• Clinical Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.