Tammy Sue Ristau, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S0024218 Issued in OH

Practice address

6131 Votaw Dr
Lisbon, OH 44432-9446

Phone

(216) 253-1709

NPI assigned

Apr 22, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Tammy Sue Ristau Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588896000000",
    "number": "1669092433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6131 VOTAW DR",
            "city": "LISBON",
            "state": "OH",
            "postal_code": "444329446",
            "telephone_number": "216-253-1709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6131 VOTAW DR",
            "city": "LISBON",
            "state": "OH",
            "postal_code": "444329446",
            "telephone_number": "216-253-1709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISTAU",
        "first_name": "TAMMY",
        "middle_name": "SUE",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S0024218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "LISBON",
            "affiliation": "N",
            "address_1": "6131 Votaw Dr",
            "city": "Lisbon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "444329446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TAMMY",
            "last_name": "RISTAU",
            "middle_name": "SUE",
            "credential": "LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christina Reed
• Heather Reed
• Jaimie Rice, QMHS
• Olivia Joan Rice
• Jessica A Ripley
• Austin Gage Roberts
• Alana Romeo
• Suzie Saler
• Brianne Sampson, QMHS
• Ernest C Sampson

• Social Worker in Lisbon, OH
• Providers in Lisbon, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.