Noa R Tia
Noa R Tia is a Clinical Social Worker in Ithaca, New York. Qualified in 2022, 4 years ago. Practices as a sole proprietor.
- Years since qualifying
- 4
- In the registry since
- 2021
Practice location Address checks out
127 W State StIthaca, NY 14850-5474
Phone: (607) 273-7494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1780358135 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 8, 2021 |
| Last updated in NPPES | August 8, 2021 |
| Certification date | August 8, 2021 |
| Mailing address | 105 South St, Ithaca, NY 14850-5326 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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