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ALEXANDER TISMAN LCSW
NPI 1326683087
Social Worker - Clinical in Chicago, IL

Active since November 16, 2019PECOS Enrolled
840 W IRVING PARK RD STE 302, CHICAGO, IL 60613(773) 659-9207 Get Directions Write a Review

NPPES record last updated: February 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 18, 2023, Feb 9, 2023, Nov 24, 2020 and 1 more (4 updates tracked since 2019).

About Alexander Tisman Lcsw NPPES

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

ALEXANDER TISMAN LCSW (NPI 1326683087) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149.022089) and active in the NPI registry since November 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2016).

NPPES Registry Identity

NPI1326683087
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameALEXANDER TISMANCredential: LCSW
Location Address840 W IRVING PARK RD STE 302Chicago, IL 60613-3011
Mailing Address840 W Irving Park Rd Ste 302Chicago, IL 60613-3011 · (773) 659-9207
Phone(773) 659-9207
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2016
Enumeration DateNovember 16, 2019
Last NPPES UpdateFebruary 18, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2023
✔ NPI 1326683087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149.022089
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.
840 W IRVING PARK RD STE 302, Chicago, IL 60613
Open in Google Maps ↗

Secondary Practice Location 1

Location 15153 N Clark St Ste 224Chicago, IL 60640-6835 · Phone (917) 687-1968

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexander Tisman Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628480183
PECOS Enrollment IDI20201208000757
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60613 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 $60.08 – $183.39
Typical copayment $0.00 (range $15.02 – $45.84)
Most-billed visit code NA
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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 20

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

ZHI QING YAW
Social Worker
840 W IRVING PARK RD STE 302
CHICAGO, IL 60613
Cook County (773) 659-9207
PATRICK MICHAEL PADDOCK
Counselor
840 W IRVING PARK RD STE 302
CHICAGO, IL 60613
Cook County (773) 659-9207
AMBER STEWART LCSW
Social Worker (Clinical)
840 W IRVING PARK RD STE 302
CHICAGO, IL 60613
Cook County (872) 216-2819
TASHANTI BLANTON
Social Worker
840 W IRVING PARK RD STE 302
CHICAGO, IL 60613
Cook County (773) 659-9207
JAMILLE EDWARDS
Counselor (Professional)
840 W IRVING PARK RD STE 302
CHICAGO, IL 60613
Cook County (224) 509-5510
KEERTHI TAMMINENI
Social Worker
840 W IRVING PARK RD STE 302
CHICAGO, IL 60613
Cook County (773) 659-9207
MONICA BERNS
Counselor (Mental Health)
840 W IRVING PARK RD STE 302
CHICAGO, IL 60613
Cook County (708) 567-7656
MR. ALFONSO TREVINO JR. MSW
Counselor (Mental Health)
840 W IRVING PARK RD STE 302
CHICAGO, IL 60613
Cook County (773) 659-9207

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 Alexander Tisman's NPI number?

The NPI number for Alexander Tisman is 1326683087. It was assigned to this individual provider in the NPPES registry on November 16, 2019.

Where is Alexander Tisman located?

Alexander Tisman practices at 840 W Irving Park Rd Ste 302, Chicago, IL 60613. The listed phone number is (773) 659-9207.

What is Alexander Tisman's specialty?

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

Is Alexander Tisman enrolled in Medicare?

Yes. Alexander Tisman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alexander Tisman was last updated on February 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.