Individual provider Active NPI

Alison Tolladay

  • Clinical Social Worker
  • Clovis, CA
National Provider Identifier
1104589647
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
122367 Issued in CA
Practice address
1797 San Jose Ave
Clovis, CA 93611-3078
Phone
(559) 790-2271
NPI assigned
Oct 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 122367 CA Primary

Addresses

Primary practice location

1797 San Jose Ave
Clovis, CA 93611-3078

Mailing address

1797 San Jose Ave
Clovis, CA 93611-3078
Phone (559) 790-2271

Other practice location 1

2934 N Fresno St
Fresno, CA 93703-1123
Phone (559) 549-6697

Other practice location 2

2361 Sample Ave
Clovis, CA 93611-5425
Phone (559) 790-2271

Other practice location 3

3239 E Tenaya Way
Fresno, CA 93710-5924
Phone (559) 790-2271

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
122367CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
2ND Home Incorporated CurrentSince Sep 4, 2022 Accepting new patients
2ND Home Incorporated CurrentSince Sep 1, 2022 Accepting new patients
Central Star Behavioral Health, Inc. PastSince Oct 1, 2021 Accepting new patients
2ND Home Incorporated PastSince Jun 21, 2022 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1104589647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1797 SAN JOSE AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936113078",
            "telephone_number": "559-790-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1797 SAN JOSE AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936113078",
            "telephone_number": "559-790-2271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2934 N Fresno St",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937031123",
            "country_code": "US",
            "telephone_number": "559-549-6697",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2361 Sample Ave",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936115425",
            "country_code": "US",
            "telephone_number": "559-790-2271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3239 E Tenaya Way",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937105924",
            "country_code": "US",
            "telephone_number": "559-790-2271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOLLADAY",
        "first_name": "ALISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-21",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "122367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.