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

Olivia R Tisa, LGSW

Individual provider Social Worker · NPI 1649138553

Olivia R Tisa, LGSW is a Clinical Social Worker in Washington, District of Columbia. Qualified in 2020, 6 years ago. Licensed in District of Columbia.

Years since qualifying
6
Licensed in
DC
In the registry since
2026

Practice location Address checks out

4400 Macarthur Blvd NW Ste 300
Washington, DC 20007-2521
Phone: (202) 455-8440
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence LG200002837 (DC)

Record details

NPI number1649138553
Entity typeIndividual (Type 1)
GenderFemale
Credentials LGSW
Sole proprietorNo
NPI enumeratedJanuary 12, 2026
Last updated in NPPESJanuary 12, 2026
Certification dateJanuary 12, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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