IndividualActive
Amy Tietjen
NPI 1194667485 · Social Worker · Lebanon, NH
Provider details
- NPI number
- 1194667485
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
46 Centerra Pkwy Ste 105
Lebanon, NH 03766-1488
Phone: (603) 691-3435
Fax: (603) 919-1915
Approximate (ZIP-level) locationGet directions
Mailing address
46 Centerra Pkwy Ste 105
Lebanon, NH 03766-1488
Registry dates
- Enumerated
- 2026-04-07
- Last updated
- 2026-04-07
- Certified
- 2026-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.