Individual provider Active NPI

Tyler Dale Oakland, LICSW

  • Clinical Social Worker
  • Austin, MN
National Provider Identifier
1447144795
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
31704 Issued in MN
Practice address
101 21St St SE Ste 1
Austin, MN 55912-4322
Phone
(507) 437-6389
Fax
(507) 396-4453
NPI assigned
Jun 3, 2025
Last updated
Jun 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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 31704 MN Primary

Addresses

Primary practice location

101 21St St SE Ste 1
Austin, MN 55912-4322

Mailing address

101 21St St SE Ste 1
Austin, MN 55912-4322
Phone (507) 437-6389

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250804000640 MN Practitioner - Clinical Social Worker 5496263279 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Counseling Studio LLC Clinical CurrentSince Dec 1, 2025 Accepting new patients
Independent Management Services of MN, Inc. CurrentSince Jun 4, 2025 Accepting new patients

Locations

709 Algon St
Albert Lea, MN 56007
Phone (507) 396-4477

101 21st St SE
Ste 1
Austin, MN 55912
Phone (507) 437-6389

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1748908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1447144795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 21ST ST SE STE 1",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559124322",
            "telephone_number": "507-437-6389",
            "fax_number": "507-396-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 21ST ST SE STE 1",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559124322",
            "telephone_number": "507-437-6389",
            "fax_number": "507-396-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OAKLAND",
        "first_name": "TYLER",
        "middle_name": "DALE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-03",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "31704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, MN

Sources for this page

Verify at the official NPI Registry.