Active NPI
Alison Tolladay
- Clinical Social Worker
- Clovis, CA
National Provider Identifier
1104589647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 122367
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 122367 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 2ND Home Incorporated | Current | Accepting new patients | |
| 2ND Home Incorporated | Current | Accepting new patients | |
| Central Star Behavioral Health, Inc. | Past | Accepting new patients | |
| 2ND Home Incorporated | Past | 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.
-
- Mental Illness Community Based Residential Treatment Facility
- Fresno, CA
- NPI 1346877594
-
- Mental Illness Community Based Residential Treatment Facility
- Clovis, CA
- NPI 1730716952
-
- Mental Illness Community Based Residential Treatment Facility
- Clovis, CA
- NPI 1144950080
-
- Community/Behavioral Health Agency
- Fresno, CA
- NPI 1255218905
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.