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MAMIE TISUE LCSW
NPI 1700351905
Social Worker - Clinical in Salida, CO

Active since October 04, 2018PECOS Enrolled
134 F ST STE 201, SALIDA, CO 81201(309) 236-3254 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 11, 2024, Apr 23, 2024, May 9, 2022 and 1 more (4 updates tracked since 2018).

About Mamie Tisue Lcsw NPPES

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

MAMIE TISUE LCSW (NPI 1700351905) is an individual clinical provider in Salida, Colorado, licensed in Colorado (CSW.09924968) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700351905
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMAMIE TISUECredential: LCSW
Location Address134 F ST STE 201Salida, CO 81201-2160
Mailing AddressPo Box 1355Salida, CO 81201-1355 · (309) 236-3254
Phone(309) 236-3254
Sole ProprietorNo
Enumeration DateOctober 4, 2018
Last NPPES UpdateDecember 11, 20244 updates tracked since enumeration
NPPES CertifiedDecember 11, 2024
✔ NPI 1700351905 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 CO · CSW.09924968
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.
134 F ST STE 201, Salida, CO 81201
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mamie Tisue Lcsw 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 Reassignment

Medicare enrollment records show Mamie Tisue reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health Center Of Denver
95 mi
Community Based Residential Treatment Facility, Mental Illness
1810 S HOOKER ST
Denver, CO 80219
  • Reassigned Medicare billing, Colorado enrollment
  • 227 clinicians in this Medicare group
NPI 1326885682 (303) 936-8105

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 81201 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 $58.06 – $174.82
Typical copayment $0.00 (range $14.51 – $43.70)
Most-billed visit code NA
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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 3

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

LAUREN CONE PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
134 F ST STE 201
SALIDA, CO 81201
Chaffee County (719) 626-1338
WILD ROOTS THERAPEUTICS
Social Worker (Clinical)
134 F ST STE 201
SALIDA, CO 81201
Chaffee County (720) 443-4933
MS. RENEE EILEEN DURICY MSW, LCSW
Social Worker (Clinical)
134 F ST STE 201
SALIDA, CO 81201
Chaffee County (719) 257-3033

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 Mamie Tisue's NPI number?

The NPI number for Mamie Tisue is 1700351905. It was assigned to this individual provider in the NPPES registry on October 4, 2018.

Where is Mamie Tisue located?

Mamie Tisue practices at 134 F St Ste 201, Salida, CO 81201. The listed phone number is (309) 236-3254.

What is Mamie Tisue's specialty?

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

Is Mamie Tisue enrolled in Medicare?

Yes. Mamie Tisue is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mamie Tisue's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mamie Tisue reassigns Medicare benefits to Mental Health Center Of Denver (Denver, CO). The 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 Mamie Tisue's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mamie Tisue accept?

Health plans from Select Health list Mamie Tisue as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mamie Tisue was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.