Tylie Nodland, LGSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1300 Hidden Lakes Pkwy
Golden Valley, MN 55422-4286

Phone

(612) 636-4517

NPI assigned

Apr 12, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1154175545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ASH AVE NE",
            "city": "SAINT MICHAEL",
            "state": "MN",
            "postal_code": "553769472",
            "telephone_number": "612-636-4517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 HIDDEN LAKES PKWY",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224286",
            "telephone_number": "612-636-4517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NODLAND",
        "first_name": "TYLIE",
        "name_prefix": "Ms.",
        "credential": "LGSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce Michael Nichols, M.A., LICSW
• Katelyn E Nichols, MSW, LICSW
• Steven Jerome Nielsen, D.D.S.
• Bethany F. Nienhuis, PT
• Nightingale Hospice Cae of Minnesota Inc
• Kimberly A Noha, PT
• Bruce Allan Norback, M.D.
• Alison Nordhougen Melloh
• Hugh E Norsted, D.D.S.
• North Metro Midwives, P.a.

• Clinical Social Worker in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.