Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Cornelia Tietke, LICSW

Individual provider Clinical Social Worker · NPI 1902196306

Cornelia Tietke, LICSW is a Clinical Social Worker in Washington, District of Columbia. Qualified in 2006, 20 years ago. Accepts Medicare assignment and offers telehealth. Licensed in District of Columbia.

Years since qualifying
20
Licensed in
DC
In the registry since
2011
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

5247 Wisconsin Ave NW Ste 2
Washington, DC 20015-2012
Phone: (202) 271-5673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LC50079008 (DC)

Record details

NPI number1902196306
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedApril 19, 2011
Last updated in NPPESApril 12, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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