Tyler D Zipfel

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.018911 Issued in IL

Practice address

1435 Market Ave
East Saint Louis, IL 62201-1811

Phone

(618) 875-9355

NPI assigned

Sep 1, 2017

Sex

Male

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

State licenses

Practice roles

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.

• Golden Rule Counseling, PLLC

  • Clinical Social Worker
  • Fairview Heights, IL
  • NPI 1083072524
  NPD (past)

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504224000000",
    "number": "1457879157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6152",
            "city": "EAST SAINT LOUIS",
            "state": "IL",
            "postal_code": "622026152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 MARKET AVE",
            "city": "EAST SAINT LOUIS",
            "state": "IL",
            "postal_code": "622011811",
            "telephone_number": "618-875-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIPFEL",
        "first_name": "TYLER",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-01",
        "last_updated": "2017-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.018911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa M White
• Janet C Whitworth, RN, FNP-BC, DNP
• Akemie Edna Williams Gray, M.D.
• Kevin Scott Worster, RPH
• Millie Wright, MSW

• Clinical Social Worker in East Saint Louis, IL
• Providers in East Saint Louis, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2017; 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.