CORNELIA TIETKE


Address: 5247 Wisconsin Ave Nw, Suite 2, Washington, DC 20015-2012
Phone: 2022715673

CORNELIA TIETKE (NPI# 1902196306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902196306
Entity Type Individual
Full Name CORNELIA TIETKE
Credential LICSW
Practice Address 5247 Wisconsin Ave Nw
Suite 2
Washington
DC 20015-2012
Mailing Address 5247 Wisconsin Ave Nw Ste 2
Washington
DC 20015-2012
Practice Telephone 2022715673
Mailing Telephone 2022715673
Enumeration Date 2011-04-19
Last Update Date 2012-04-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
LC50079008 DC Behavioral Health & Social Service Providers

Office Location

Street Address 5247 WISCONSIN AVE NW
SUITE 2
City WASHINGTON
State DC
Zip Code 20015-2012

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1427061233 Janell Marie Schweickert Psychologist 5247 Wisconsin Ave Nw, Suite 4, Washington, DC 20015-2012 2006-08-14
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1417372541 Anna Rosch Psychologist 5247 Wisconsin Ave Nw, Suite 4, Washington, DC 20015-2012 2014-02-26
1750703484 Courtney Conn Psychologist 5247 Wisconsin Ave Nw, Suite 4, Washington, DC 20015-2012 2014-01-15
1245664556 Anne Parker Wake Psychologist 5247 Wisconsin Ave Nw, Suite 4, Washington, DC 20015-2012 2013-08-23
1710225404 Adriana I. Salcedo Social Worker 5247 Wisconsin Ave Nw, Suite 2, Washington, DC 20015-2012 2013-01-30
1093061848 Joseph Viola Psychologist 5247 Wisconsin Ave Nw, Suite 4, Washington, DC 20015-2012 2012-07-31
1285996033 Dc Psychotherapy Pllc Social Worker 5247 Wisconsin Ave Nw, Suite 2, Washington, DC 20015-2012 2012-06-07
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

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Competitor

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City WASHINGTON
Zip Code 20015

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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