Alex Tisman LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ALEX TISMAN LCSW PLLC

Practice address

5153 N Clark St Ste 224
Chicago, IL 60640-6835

Phone

(917) 687-1968

NPI assigned

Feb 9, 2023

Organization subpart

No

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

Authorized official

Name

Alexander Tisman, LCSWNPI 1326683087

Title

Psychotherapist/Business Owner

Phone

(917) 687-1968

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexander Tisman, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1326683087
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679616000000",
    "number": "1992402093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5153 N CLARK ST STE 224",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606406835",
            "telephone_number": "917-687-1968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5153 N CLARK ST STE 224",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606406835",
            "telephone_number": "917-687-1968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEX TISMAN LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-09",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A",
        "authorized_official_last_name": "TISMAN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/BUSINESS OWNER",
        "authorized_official_telephone_number": "917-687-1968",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex J Buividas & Thomas a Buividas PTR
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• Alex Tavlas Therapy PLLC
• Capri Alex
• Gillian Alex, M.D.
• Helen Alex
• Shaun Alex, D.D.S.
• Michael Alexa, CRNA

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.