Dwaine Dale Tipton, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2005005203

Practice address

10094 Litzsinger Rd
Saint Louis, MO 63124-1132

Phone

(314) 989-8800

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

No

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1487678033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 BROCKWELL DR",
            "city": "DARDENNE PRAIRIE",
            "state": "MO",
            "postal_code": "633688370",
            "telephone_number": "314-779-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10094 LITZSINGER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631241132",
            "telephone_number": "314-989-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIPTON",
        "first_name": "DWAINE",
        "middle_name": "DALE",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "2005005203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tipler Chiropractic & Rehabilitation LLC
• Xaivier T Tipler, D.C.
• Amaris Renee Tippey, PHD
• Brianna Marie Tippin
• Caroline Tipsword, COTA
• Sara Jane Tipton, PA-C
• Brian Anthony Tirado, MD
• Tanatuch Tiratrakoonseree, MD
• Kiranmaye Tiriveedhi, M.D.
• Nikhil Vaishnav Tirukkovalur, MBBS

• Clinical Social Worker in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.