Tyiesha Wisdom

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

7305 N Military TRL
Riviera Beach, FL 33410-7417

Phone

(561) 422-8223

NPI assigned

Apr 17, 2014

Last updated

Apr 17, 2014By 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

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397692800000",
    "number": "1720408743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 LAKEVIEW CIR",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334118743",
            "telephone_number": "561-422-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7305 N MILITARY TRL",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334107417",
            "telephone_number": "561-422-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISDOM",
        "first_name": "TYIESHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-17",
        "last_updated": "2014-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarissa Williams
• Juliana Williams, M.A.
• James Richard Wilson, LCSW
• Roneisha Jamae Wilson, MSW
• Sara Elizabeth Windrem
• Janet L Wise
• Douglas G Woersching, D.D.S.
• Stephani Wolfe
• Shan S. Wong, PHD
• Anne Mark Woodruff, RN, COHN-S/CM

• Social Worker in Riviera Beach, FL
• Providers in Riviera Beach, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; 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.