Olivia R Tisa, LGSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LG200002837 Issued in DC

Practice address

4400 Macarthur Blvd NW Ste 300
Washington, DC 20007-2521

Phone

(202) 455-8440

NPI assigned

Jan 12, 2026

Last updated

Jan 12, 2026By the provider in NPPES

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

Not listed in the public Medicare enrollment file

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.

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1768176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1649138553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 17TH ST NW APT 21",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200092798",
            "telephone_number": "708-846-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 MACARTHUR BLVD NW STE 300",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072521",
            "telephone_number": "202-455-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TISA",
        "first_name": "OLIVIA",
        "middle_name": "R",
        "credential": "LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-12",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "DC",
            "license": "LG200002837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Syed M.N. Tirmizi, M.D.
• Jerusalem Tiru, HHA
• Fikirte Zekarias Tiruneh
• Hanna Tiruneh
• Rahel Tiruneh, PCA
• Kelsey A Tisdale
• Kevin Tisdale
• Donna Tish, MPH, LGSW
• Mathilde T Tissot, MD
• Anivette Akud Tita

• Social Worker in Washington, DC
• Providers in Washington, DC by specialty
• Social Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.
• 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.