Individual provider Active NPI

Christy Ticheli, LCSW

  • Clinical Social Worker
  • Monroe, LA
National Provider Identifier
1609270529
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8829 Issued in LA
Practice address
1598 Hudson LN
Monroe, LA 71201-6012
Phone
(318) 463-9046
NPI assigned
Oct 21, 2014
Last updated
Sep 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 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 8829 LA Primary

Addresses

Primary practice location

1598 Hudson LN
Monroe, LA 71201-6012

Mailing address

120 Eagle Rock Dr
West Monroe, LA 71291-4770
Phone (318) 463-9046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150129001512 LA Practitioner - Clinical Social Worker 5890019582 Reassigns benefits to 1 organization
I20250717000045 OH Practitioner - Clinical Social Worker 5890019582 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8829LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Talkspace Provider Network PA CurrentSince Feb 16, 2025 Accepting new patients
Heartfelt Counseling, LLC CurrentSince Oct 21, 2025 Accepting new patients

Locations

2285 Benton Rd
#207
Bossier City, LA 71111
Phone (318) 423-0703

2578 Broadway
#607
New York, NY 10025
Phone (516) 847-5432

2578 Broadway
Ste 607
New York, NY 10025
Phone (304) 308-3735

Organizations & group practices 2

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": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1609270529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 EAGLE ROCK DR",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712914770",
            "telephone_number": "318-463-9046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1598 HUDSON LN",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712016012",
            "telephone_number": "318-463-9046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TICHELI",
        "first_name": "CHRISTY",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-21",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "8829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.