Individual provider Active NPI

Tierney Christine Garver, MSW, LICSW,

  • Clinical Social Worker
  • Duluth, MN
National Provider Identifier
1528691441
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
26254 Issued in MN
Practice address
139 Northfield St
Duluth, MN 55803-1944
Phone
(218) 343-9323
Fax
(218) 520-1787
NPI assigned
Feb 19, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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 26254 MN Primary

Addresses

Primary practice location

139 Northfield St
Duluth, MN 55803-1944

Mailing address

139 Northfield St
Duluth, MN 55803-1944
Phone (218) 343-9323

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20211028000856 MN Practitioner - Clinical Social Worker 4183012909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St. Luke'S Hospital of DuluthGroup PAC ID 7113834839, 409 clinicians

Practice addresses (Care Compare)

220 N 6TH Ave E
Duluth, MN 55805-1952
Phone (218) 249-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26254MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Borealis Healing, LLC CurrentSince Feb 6, 2022 Accepting new patients
St. Luke'S Hospital of Duluth Current Accepting new patients
St. Luke'S Hospital of Duluth CurrentSince Dec 13, 2023 Accepting new patients
St. Luke'S Hospital of Duluth CurrentSince Dec 13, 2023 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

220 N 6th Ave E
Duluth, MN 55805
Phone (218) 249-7000

1015 E 1st St
Duluth, MN 55805
Phone (218) 249-7860

915 E 1st St
Duluth, MN 55805
Phone (218) 249-5352

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1528691441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 NORTHFIELD ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558031944",
            "telephone_number": "218-343-9323",
            "fax_number": "218-520-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 NORTHFIELD ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558031944",
            "telephone_number": "218-343-9323",
            "fax_number": "218-520-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARVER",
        "first_name": "TIERNEY",
        "middle_name": "CHRISTINE",
        "credential": "MSW, LICSW,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-19",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "26254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.