Organization Active NPI

Playfully You, PLLC

  • Clinical Social Worker
  • Dickinson, ND
National Provider Identifier
1003335118
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4338 Issued in ND
Legal business name
PLAYFULLY YOU, PLLC
Practice address
40 1St Ave W Ste 205B
Dickinson, ND 58601-5103
Phone
(701) 300-3525
Fax
(701) 491-7530
NPI assigned
Sep 11, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Natalee Rachele Tangen, LICSWNPI 1699012625
Title
Owner/Therapist
Phone
(701) 300-3525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 4338 ND Primary

Addresses

Primary practice location

40 1St Ave W Ste 205B
Dickinson, ND 58601-5103

Mailing address

40 1St Ave W Ste 205B
Dickinson, ND 58601-5103
Phone (701) 300-3525

Other identifiers 1

IdentifierTypeStateIssuer
1454380MedicaidND

National Provider Directory

National Provider Directory

Locations

40 1st Ave W
Ste 205B
Dickinson, ND 58601
Phone (701) 300-3525

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1003335118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 1ST AVE W STE 205B",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586015103",
            "telephone_number": "701-300-3525",
            "fax_number": "701-491-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 1ST AVE W STE 205B",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586015103",
            "telephone_number": "701-300-3525",
            "fax_number": "701-491-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAYFULLY YOU, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TANGEN",
        "authorized_official_first_name": "NATALEE",
        "authorized_official_middle_name": "RACHELE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "701-300-3525",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "4338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454380",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickinson, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.