Tierra Marie Smith, LISW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

099909 Issued in IA

Practice address

1 Triton Cir
Fort Dodge, IA 50501-5798

Phone

(515) 576-7201

NPI assigned

Jun 22, 2020

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 names 1

• Tierra Marie Luppen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/yss/r4/

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.

• Youth and Shelter Services, Inc.

  dba Yss

  • Counselor
  • Ames, IA
  • NPI 1841357894
  NPD (past)

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1740806140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TRITON CIR",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015798",
            "telephone_number": "515-576-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TRITON CIR",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015798",
            "telephone_number": "515-576-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TIERRA",
        "middle_name": "MARIE",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "099909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIERRA",
            "last_name": "LUPPEN",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brittany Smith
• Diana Beatrice Smith, FNPC-C
• Grace Elizabeth Smith
• Heidi Smith, CADC
• Jessica Lynn Smith, RN
• Andrew Bryant Sonksen, DDS
• Craig Sosby
• Sparrow Counseling LLC
• Emma Marie Spicher Halligan, LMSW, CADC
• Rachel Sporrer

• Social Worker in Fort Dodge, IA
• Providers in Fort Dodge, IA by specialty
• Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.