Active NPI
Tia Tanisha Danie, LSW
- Social Worker
- New Lenox, IL
National Provider Identifier
1740199462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.129498
- Practice address
- 1005 W Laraway Rd Ste 230
New Lenox, IL 60451-4117 - Phone
- (815) 570-9303
- NPI assigned
- Sep 7, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.129498 | IL | Primary |
Addresses
Primary practice location
1005 W Laraway Rd Ste 230
New Lenox, IL 60451-4117
Mailing address
743 Sandra Dr Apt 2
University Park, IL 60484-2966
Phone (708) 522-3788
Other names 1
- Tia Tanisha Davis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788739200000",
"number": "1740199462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "743 SANDRA DR APT 2",
"city": "UNIVERSITY PARK",
"state": "IL",
"postal_code": "604842966",
"telephone_number": "708-522-3788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 W LARAWAY RD STE 230",
"city": "NEW LENOX",
"state": "IL",
"postal_code": "604514117",
"telephone_number": "815-570-9303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIE",
"first_name": "TIA",
"middle_name": "TANISHA",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-07",
"last_updated": "2026-09-07",
"certification_date": "2026-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.129498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TIA",
"last_name": "DAVIS",
"middle_name": "TANISHA",
"credential": "DAVIS",
"code": "5",
"type": "Other Name"
}
]
}Other providers in New Lenox, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.