Melanie Tagtow

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

06387 Issued in IA

Practice address

111 10TH St SW
Waverly, IA 50677-2925

Phone

(319) 352-2064

NPI assigned

Jul 2, 2015

Last updated

Jul 2, 2015By the provider in NPPES

Sex

Female

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)

Enrolled

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435795200000",
    "number": "1669855078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 10TH ST SW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506772925",
            "telephone_number": "319-352-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 10TH ST SW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506772925",
            "telephone_number": "319-352-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGTOW",
        "first_name": "MELANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-02",
        "last_updated": "2015-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "06387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• The Larrabee Center, in.C

• Clinical Social Worker in Waverly, IA
• Providers in Waverly, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; 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.