Active NPI
Tisa Dhaliwal, RSW
- Social Worker
- Monroe, LA
National Provider Identifier
1588034581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 11262
- Practice address
- 645 Highway 80 E
Monroe, LA 71203-8527 - Phone
- (318) 343-8744
- NPI assigned
- Oct 2, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 11262 | LA | |
| Social Worker | 104100000X | 11262 | LA | Primary |
Addresses
Primary practice location
645 Highway 80 E
Monroe, LA 71203-8527
Mailing address
645 Highway 80 E
Monroe, LA 71203-8527
Phone (318) 343-8744
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11262 | Other | LA | LABSWE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11262 | LA | MD | Mental Health Clinic/Center (Including Community Mental Health Center) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689638400000",
"number": "1588034581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "645 HIGHWAY 80 E",
"city": "MONROE",
"state": "LA",
"postal_code": "712038527",
"telephone_number": "318-343-8744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 HIGHWAY 80 E",
"city": "MONROE",
"state": "LA",
"postal_code": "712038527",
"telephone_number": "318-343-8744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DHALIWAL",
"first_name": "TISA",
"credential": "RSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-02",
"last_updated": "2023-07-18",
"certification_date": "2023-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "LA",
"license": "11262",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "11262",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABSWE",
"identifier": "11262",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monroe, LA
- Shereka Ruenet Devall, MHS
- Mary Elizabeth Devillier, FNP-C
- Robert Devinney IV, PT
- Amrit Devkota, M.D.
- DH Bynum Enterprises Inc (Ouachita Pharmacy)
- Dhaya N. Kutnikar M.D. Apmc (Narendra Kutnikar M.D.)
- Aaphtaab Dheendsa, M.D.
- Sangeeta Dhulappanavar Ravi
- Susajjan Dhungana, MD
- Melissa Rose Di Santo, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.