Linda Jo Tjaden, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801011497 Issued in MI

Practice address

29201 Telegraph Road
550
Southfield, MI 48034

Phone

(248) 213-0501

Fax

(248) 213-0521

NPI assigned

Dec 5, 2006

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 identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: lifestancehealth.jotjaden@150339.advancedmd-direct.com

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902964430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29201 TELEGRAPH ROAD",
            "address_2": "550",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48034",
            "telephone_number": "248-213-0501",
            "fax_number": "248-213-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29201 TELEGRAPH ROAD",
            "address_2": "550",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48034",
            "telephone_number": "248-213-0501",
            "fax_number": "248-213-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TJADEN",
        "first_name": "LINDA",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801011497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETHE",
            "identifier": "7530443",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2053814",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tingling Orthodontics PLLC
• Howard Leslie Tingling, DDS MS
• Julian Tinpan
• Shontavia Tinsley
• Johnitra Tipton
• Vincent James Tkac, MS OTRL
• Chiu Yuen To, D.O.
• Rodrigo Tobar Jr., DO
• Cady Tobias
• Tiba Mowafak Tokatly, D.D.S.

• Clinical Social Worker in Southfield, MI
• Providers in Southfield, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.