MISS AUDREY IRENE TYSZKA LCSW-R
NPI 1184976805
Social Worker - Clinical in Baldwinsville, NY

Active since October 04, 2012PECOS Enrolled
44 OSWEGO ST, BALDWINSVILLE, NY 13027(315) 396-4241 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 6, 2021, Nov 26, 2019 (2 updates tracked since 2019).

About Miss Audrey Irene Tyszka Lcsw-r NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS AUDREY IRENE TYSZKA LCSW-R (NPI 1184976805) is an individual clinical provider in Baldwinsville, New York and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184976805
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMISS AUDREY IRENE TYSZKACredential: LCSW-R
Location Address44 OSWEGO STBaldwinsville, NY 13027-2471
Mailing Address44 Oswego StBaldwinsville, NY 13027-2471
Sole ProprietorNo
Enumeration DateOctober 4, 2012
Last NPPES UpdateDecember 6, 20212 updates tracked since enumeration
NPPES CertifiedMarch 23, 2021
✔ NPI 1184976805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
44 OSWEGO ST, Baldwinsville, NY 13027

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Audrey Irene Tyszka Lcsw-r is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Audrey Tyszka reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
44 OSWEGO ST
Baldwinsville, NY 13027
  • Reassigned Medicare billing, New York enrollment
General Acute Care Hospital
301 PROSPECT AVE, ADMINISTRATION
Syracuse, NY 13203
  • Reassigned Medicare billing, New York enrollment
  • 369 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13027 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
44 OSWEGO ST
BALDWINSVILLE, NY 13027

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Audrey Tyszka's NPI number?

The NPI number for Audrey Tyszka is 1184976805. It was assigned to this individual provider in the NPPES registry on October 4, 2012.

Where is Audrey Tyszka located?

Audrey Tyszka practices at 44 Oswego St, Baldwinsville, NY 13027. The listed phone number is (315) 396-4241.

What is Audrey Tyszka's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Audrey Tyszka enrolled in Medicare?

Yes. Audrey Tyszka is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Audrey Tyszka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Audrey Tyszka reassigns Medicare benefits to 2 organizations: Audrey Tyszka, Lcsw, PLLC (Baldwinsville, NY) and St Josephs Hospital Health Center (Syracuse, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Audrey Tyszka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Audrey Tyszka was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.