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AUDREY TYSZKA, LCSW, PLLC
NPI 1285220319
Social Worker - Clinical in Baldwinsville, NY

Active since December 13, 2020
44 OSWEGO ST, BALDWINSVILLE, NY 13027(315) 703-2839 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, Mar 23, 2021, Dec 13, 2020 (3 updates tracked since 2020).

About Audrey Tyszka, Lcsw, Pllc NPPES

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

AUDREY TYSZKA, LCSW, PLLC (NPI 1285220319) is a healthcare organization registered as a clinical in Baldwinsville, New York and active in the NPI registry since December 2020. The organization lists Ginny Reneau, Insurance Consultant, as its authorized official.

NPPES Registry Identity

NPI1285220319
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameAUDREY TYSZKA, LCSW, PLLC
Location Address44 OSWEGO STBaldwinsville, NY 13027-2471
Mailing Address44 Oswego StBaldwinsville, NY 13027-2471
Phone(315) 703-2839
Organization SubpartNo
Authorized OfficialGinny ReneauInsurance Consultant · (315) 956-0935
Enumeration DateDecember 13, 2020
Last NPPES UpdateDecember 6, 20213 updates tracked since enumeration
NPPES CertifiedDecember 6, 2021
✔ NPI 1285220319 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
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Audrey Tyszka, Lcsw, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Audrey Tyszka, Lcsw, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Audrey Tyszka, LCSW-R
Clinical Social Worker
NPI 1184976805
44 OSWEGO ST
Baldwinsville, NY 13027
(315) 396-4241
✔ PECOSSame address

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

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, Lcsw, PLLC's NPI number?

The NPI number for Audrey Tyszka, Lcsw, PLLC is 1285220319. It was assigned to this organization in the NPPES registry on December 13, 2020.

Where is Audrey Tyszka, Lcsw, PLLC located?

Audrey Tyszka, Lcsw, PLLC is located at 44 Oswego St, Baldwinsville, NY 13027. The listed phone number is (315) 703-2839.

What is Audrey Tyszka, Lcsw, PLLC's specialty?

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

Is Audrey Tyszka, Lcsw, PLLC enrolled in Medicare?

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

How many clinicians bill Medicare through Audrey Tyszka, Lcsw, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Audrey Tyszka, Lcsw, PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Audrey Tyszka, Lcsw, PLLC 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.