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

Mamie Tisue, LCSW

Individual provider Clinical Social Worker · NPI 1700351905

Mamie Tisue, LCSW is a Clinical Social Worker in Salida, Colorado. Licensed in Colorado. Registered with an NPI since 2018.

Licensed in
CO
In the registry since
2018
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

134 F St Ste 201
Salida, CO 81201-2160
Phone: (309) 236-3254
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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 CSW.09924968 (CO)

Record details

NPI number1700351905
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 4, 2018
Last updated in NPPESDecember 11, 2024
Certification dateDecember 11, 2024

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