Individual provider Active NPI

Kimberly S Tiscia

  • Clinical Social Worker
  • Hinsdale, IL
National Provider Identifier
1497343123
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
15 Spinning Wheel Rd
Hinsdale, IL 60521-2914
Phone
(630) 323-3050
NPI assigned
Jan 7, 2021
Last updated
Apr 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

15 Spinning Wheel Rd
Hinsdale, IL 60521-2914

Mailing address

2722 Cuyler Ave
Berwyn, IL 60402-2712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20210628000167 IL Practitioner - Clinical Social Worker 8123429206 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Loyola University of Chicago, Stritch School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2722 Cuyler Ave
Berwyn, IL 60402-2712
Phone (708) 317-9205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Phases Mental Health Services PLLC Clinical CurrentSince Oct 19, 2025 Accepting new patients
The Lodestone Center for Behavioral Health, PC Clinical CurrentSince Feb 8, 2024 Accepting new patients
Hammond Psychological Services LLC PastSince Jan 10, 2021 Accepting new patients
TMS Psychological Services PC PastSince Sep 1, 2017 Accepting new patients

Locations

15 Spinning Wheel Rd
Ste 426
Hinsdale, IL 60521
Phone (630) 323-3050

111 Dean St
Woodstock, IL 60098
Phone (815) 344-5061

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1497343123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 CUYLER AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SPINNING WHEEL RD",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605212914",
            "telephone_number": "630-323-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TISCIA",
        "first_name": "KIMBERLY",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-07",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.