Organization Active NPI

Martha Tierney LCSW LLC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1700618469
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MARTHA TIERNEY LCSW LLC
Practice address
2530 W Iowa St
Chicago, IL 60622-7249
Phone
(555) 555-1212
NPI assigned
Aug 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Authorized official

Name
Martha T Tierney
Title
President
Phone
(612) 720-6136

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2530 W Iowa St
Chicago, IL 60622-7249

Mailing address

2530 W Iowa St
Chicago, IL 60622-7249
Phone (555) 555-1212

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1700618469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 W IOWA ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606227249",
            "telephone_number": "555-555-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 W IOWA ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606227249",
            "telephone_number": "555-555-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA TIERNEY LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "TIERNEY",
        "authorized_official_first_name": "MARTHA T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-720-6136"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.