Tapestry Psychotherapy Group, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

TAPESTRY PSYCHOTHERAPY GROUP, LLC

Doing business as

Tapestry Psychotherapy

Practice address

230 W Superior St Ste 400
Duluth, MN 55802-4021

Phone

(218) 208-3647

Fax

(218) 212-9933

NPI assigned

Feb 6, 2021

Organization subpart

No

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

Authorized official

Name

Susan Dolph, LICSWNPI 1063065019

Title

Owner

Phone

(218) 208-3647

Specialties & licenses 1

Addresses

Other names 1

• Tapestry Psychotherapy Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan M Dolph, LICSW

  • Clinical Social Worker
  • Duluth, MN
  • NPI 1063065019
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1612569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612569600000",
    "number": "1184216657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 W SUPERIOR ST STE 400",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558024021",
            "telephone_number": "218-208-3647",
            "fax_number": "218-212-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 W SUPERIOR ST STE 400",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558024021",
            "telephone_number": "218-208-3647",
            "fax_number": "218-212-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAPESTRY PSYCHOTHERAPY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-06",
        "last_updated": "2021-02-06",
        "certification_date": "2021-02-06",
        "status": "A",
        "authorized_official_last_name": "DOLPH",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-208-3647",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tapestry Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mickayla Talberg
• Kimberly E Talbot, PT
• Linda Tallakson, C.O.T.A/L
• Elisa R Talus, PT
• Tanner PT, LLC
• Megan Marie Tapp, PHARMD
• Jillian M Tapper-Smith, APRN, CNP
• Brian Joseph Tasky, D.C.
• Rachel Marie Tasson, DPT
• Bradley Tavernier

• Clinical Social Worker in Duluth, MN
• Providers in Duluth, 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 Feb 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.