Tessa Ivey, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.2405763-SUPV Issued in OH

Practice address

1501 Madison Rd
Walnut Hills, OH 45206-1706

Phone

(513) 354-5200

NPI assigned

Jan 3, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mindfully LLCGroup PAC ID 3476606252, 66 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mindfully, LLC

  • Counselor
  • Fairfield, OH
  • NPI 1972702520

  Addiction (Substance Use Disorder)

  Medicare reassignment Care Compare group NPD
• Greater Cincinnati Behavioral Health Services

  • Community/Behavioral Health Agency
  • Walnut Hills, OH
  • NPI 1720251788
  Medicare reassignment NPD
• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  OH

  Medicare reassignment NPD
• Greater Cincinnati Behavioral Health Services

  • Family Medicine Physician
  • Cincinnati, OH
  • NPI 1871486183
  NPD
• Mindfully, LLC

  • Counselor
  • Jacksonville, FL
  • NPI 1376271981

  Addiction (Substance Use Disorder)

  NPD
• Greater Cincinnati Behavioral Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Walnut Hills, OH
  • NPI 1588626097
  NPD (past)
• Mindfully Psychiatry LLC

  • Psychiatry Physician
  • Montgomery, OH
  • NPI 1881341543
  NPD (past)

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1770090540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 MADISON RD",
            "city": "WALNUT HILLS",
            "state": "OH",
            "postal_code": "452061706",
            "telephone_number": "513-354-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 MADISON RD",
            "city": "WALNUT HILLS",
            "state": "OH",
            "postal_code": "452061706",
            "telephone_number": "513-354-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVEY",
        "first_name": "TESSA",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-03",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2405763-SUPV",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.173563",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2101774",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE BOARD",
            "identifier": "00000",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tammie H Hung, LISW
• Elizabeth Hutchinson, QMHS
• Dominique Hutson
• Paige N Inlow
• Darby Ann Ison, QMHS BA
• Chelaniye Jackson, QMHS BA
• Jamilia O Jackson
• Kenneth Jackson
• Naebrittany Jackson, QMHS BA
• Nina L Jackson, LPN

• Clinical Social Worker in Walnut Hills, OH
• Providers in Walnut Hills, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.