Alicia Tegtman, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.2310239 Issued in OH

Practice address

22540 Lorain Rd
Fairview Park, OH 44126-2212

Phone

(918) 934-6924

NPI assigned

Jan 17, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Cornerstone Pathways, LLC

  • Counselor
  • Wellington, OH
  • NPI 1023779303
  NPD (past)

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787443200000",
    "number": "1740041789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 GRAND AVE",
            "city": "WELLINGTON",
            "state": "OH",
            "postal_code": "440901330",
            "telephone_number": "918-934-6924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22540 LORAIN RD",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441262212",
            "telephone_number": "918-934-6924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3918 Clock Pointe Trl Ste 105",
            "address_purpose": "LOCATION",
            "city": "Stow",
            "state": "OH",
            "postal_code": "442242989",
            "country_code": "US",
            "telephone_number": "760-593-8011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEGTMAN",
        "first_name": "ALICIA",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-17",
        "last_updated": "2026-08-23",
        "certification_date": "2026-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2310239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Stives, CCC-SLP
• Renee E Supers, LSW
• Richard Szado, OTRL
• Cynthia Takaht, MA
• Target Corporation
• Tenisha Glass
• Thaddeus J. Mandato, D.D.S., Inc.
• The Cleveland Clinic Foundation
• The Cleveland Clinic Foundation
• The Optical Inc

• Social Worker in Fairview Park, OH
• Providers in Fairview Park, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2026; 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.