Susan Tierney, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6870-123 Issued in IN

Practice address

128 E Olin Ave
Suite 100
Madison, WI 53713-1467

Phone

(608) 252-1325

Fax

(608) 252-1328

NPI assigned

Jul 25, 2007

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

Other identifiers 1

Other names 1

• Susan Stehouwer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Family Service Madison Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Madison, WI
  • NPI 1881806198
  NPD (past)
• Hhu Xtra Care Inc

  • Home Infusion Therapy Pharmacy
  • Madison, WI
  • NPI 1326337106
  NPD (past)

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185321600000",
    "number": "1669662839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 E OLIN AVE",
            "address_2": "SUITE 100",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537131467",
            "telephone_number": "608-252-1325",
            "fax_number": "608-252-1328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 E OLIN AVE",
            "address_2": "SUITE 100",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537131467",
            "telephone_number": "608-252-1325",
            "fax_number": "608-252-1328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIERNEY",
        "first_name": "SUSAN",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "6870-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40934300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "STEHOUWER",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katrina Tienter, RN
• Adam C Tierney, MD
• Laurie J Tierney
• Madeline Tierney, MD
• Stacie Sauer Tierney, DPT
• Rebecca Tigges
• Heather Dawn Tiller, M.D.
• David Tillman, M.D.
• Rachel L Tilsen, RD
• Jordan Timbeross

• Clinical Social Worker in Madison, WI
• Providers in Madison, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; 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.