Tessa Ivey, LISW-S
NPI 1770090540ActiveIndividual· Social Worker, Clinical· Walnut Hills, OH
Social Worker, Clinical (LISW-S) with Mindfully LLC, practicing in Walnut Hills, Ohio. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1770090540 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LISW-S |
| Sole proprietor | Yes |
| NPI issued | Jan 3, 2018 |
| Last updated in NPPES | Mar 11, 2026 |
| Certified by provider | Mar 11, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | I.2405763-SUPV | OH |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | CDCA.173563 | OH |
| Social Worker | 104100000X | S.2101774 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (OH) |
|---|
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Mindfully LLCDenver, CO · 62 clinicians
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