Organization Active NPI

Tied2Success LLC

  • Clinical Social Worker
  • Rockford, IL
National Provider Identifier
1013831858
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TIED2SUCCESS LLC
Practice address
202 W State St Ste 1007
Rockford, IL 61101-1155
Phone
(224) 268-2117
NPI assigned
Aug 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Authorized official

Name
Marcellous Pollards, LCSW
Title
Ceo
Phone
(224) 268-2117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

202 W State St Ste 1007
Rockford, IL 61101-1155

Mailing address

202 W State St Ste 1007
Rockford, IL 61101-1155
Phone (224) 268-2117

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1785888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1013831858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 W STATE ST STE 1007",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611011155",
            "telephone_number": "224-268-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W STATE ST STE 1007",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611011155",
            "telephone_number": "224-268-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIED2SUCCESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-05",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "POLLARDS",
        "authorized_official_first_name": "MARCELLOUS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "224-268-2117",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.