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

Individual provider Clinical Social Worker · NPI 1770090540

Tessa Ivey, LISW-S is a Clinical Social Worker in Walnut Hills, Ohio. Qualified in 2022, 4 years ago. Practices with Mindfully LLC, a 66-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
4
Licensed in
OH
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

1501 Madison Rd
Walnut Hills, OH 45206-1706
Phone: (513) 354-5200
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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 I.2405763-SUPV (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CDCA.173563 (OH)
Social Worker Taxonomy 104100000X · Licence S.2101774 (OH)

Record details

NPI number1770090540
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW-S
Sole proprietorYes
NPI enumeratedJanuary 3, 2018
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Mindfully Llc — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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