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CORNELIA TIETKE LICSW
NPI 1902196306
Social Worker - Clinical in Washington, DC

Active since April 19, 2011PECOS EnrolledAccepts Medicare Assignment
5247 WISCONSIN AVE NW, SUITE 2, WASHINGTON, DC 20015(202) 271-5673 Get Directions Write a Review

NPPES record last updated: April 12, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cornelia Tietke Licsw NPPES

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

CORNELIA TIETKE LICSW (NPI 1902196306) is an individual clinical provider in Washington, District Of Columbia, licensed in District Of Columbia (LC50079008) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1902196306
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCORNELIA TIETKECredential: LICSW
Location Address5247 WISCONSIN AVE NW, SUITE 2Washington, DC 20015-2012
Mailing Address5247 Wisconsin Ave Nw Ste 2Washington, DC 20015-2012 · (202) 271-5673
Phone(202) 271-5673
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateApril 19, 2011
Last NPPES UpdateApril 12, 2012
✔ NPI 1902196306 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 DC · LC50079008
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.
5247 WISCONSIN AVE NW, Washington, DC 20015
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cornelia Tietke Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446553895
PECOS Enrollment IDI20160120000209
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 20015 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 $65.18 – $194.86
Typical copayment $0.00 (range $16.29 – $48.71)
Most-billed visit code NA
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

FRIENDSHIP DENTAL CARE
Dentist (Pediatric Dentistry)
5247 WISCONSIN AVE NW, STE 3A
WASHINGTON, DC 20015
District of Columbia (202) 362-7413
DR. JOSEPH VIOLA PH.D.
Psychologist (Clinical)
5247 WISCONSIN AVE NW, SUITE 4
WASHINGTON, DC 20015
District of Columbia (202) 686-7699
DR. TSEDAY MIMI MEKBIB DDS
Dentist
5247 WISCONSIN AVE NW, SUITE #3A
WASHINGTON, DC 20015
District of Columbia (301) 332-4094
THE WAKE KENDALL GROUP, PLLC
Psychologist (Clinical)
5247 WISCONSIN AVE NW, SUITE 4
WASHINGTON, DC 20015
District of Columbia (202) 686-7699
DR. SUNITA DUGGAL PH.D.
Psychologist
5247 WISCONSIN AVE NW, SUITE 4
WASHINGTON, DC 20015
District of Columbia (202) 686-7699
MS. DIANNE BEHME CARLSON APRN CLINICAL NURSE
Clinical Nurse Specialist (Psychiatric/Mental Health, Child & Adolescent)
5247 WISCONSIN AVE NW, SUITE 2
WASHINGTON, DC 20015
District of Columbia (202) 256-3601
DC PSYCHOTHERAPY PLLC
Social Worker (Clinical)
5247 WISCONSIN AVE NW, SUITE 2
WASHINGTON, DC 20015
District of Columbia (202) 271-5673
DR. FRANCES BARNETT BROOKNER PSYD
Psychologist
5247 WISCONSIN AVE NW, SUITE 4
WASHINGTON, DC 20015
District of Columbia (202) 255-2039

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 Cornelia Tietke's NPI number?

The NPI number for Cornelia Tietke is 1902196306. It was assigned to this individual provider in the NPPES registry on April 19, 2011.

Where is Cornelia Tietke located?

Cornelia Tietke practices at 5247 Wisconsin Ave NW Suite 2, Washington, DC 20015. The listed phone number is (202) 271-5673.

What is Cornelia Tietke's specialty?

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

Is Cornelia Tietke enrolled in Medicare?

Yes. Cornelia Tietke is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Cornelia Tietke was last updated on April 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.