Tage Alan Lilja, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089.0106322 Issued in VT

Practice address

125 Saint Paul St Ste 107
Burlington, VT 05401-8462

Phone

(802) 391-9865

NPI assigned

Apr 15, 2009

Last updated

Jul 30, 2019By the provider in NPPES

Sex

Male

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

Enrolled in MA

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

University of Vermont College of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tage Lilja Licsw LLC

  • Clinical Social Worker
  • Boston, MA
  • NPI 1205500329
  Medicare reassignment NPD Authorized official
• Tage Lilja Licsw PLC

  • Clinical Social Worker
  • Burlington, VT
  • NPI 1972076339
  Authorized official Same address or phone

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

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1780827147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 SOUTHWIND RD",
            "city": "HINESBURG",
            "state": "VT",
            "postal_code": "054614448",
            "telephone_number": "802-391-9865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 SAINT PAUL ST STE 107",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054018462",
            "telephone_number": "802-391-9865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILJA",
        "first_name": "TAGE",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-15",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0106322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Lieb
• Benjamin Liebman, DPT
• Luana K Life, CH
• Kaitlyn M. Lightbody, NNP
• Jacob Morgan Lilienfeld, MD
• Marie Kimberly Yu Lim
• James S Limanek, M.D.
• Robert E Linder, MD
• David Lines
• Heather Elizabeth Link, M.D.

• Clinical Social Worker in Burlington, VT
• Providers in Burlington, VT by specialty
• Clinical Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; 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.