Active NPI
Tyler Trizila, LMSW
- Social Worker
- Sioux City, IA
National Provider Identifier
1689332199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 101146
- Practice address
- 1601 Military Rd
Sioux City, IA 51103-1715 - Phone
- (712) 252-4547
- NPI assigned
- Dec 1, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 101146 | IA | Primary |
Addresses
Primary practice location
1601 Military Rd
Sioux City, IA 51103-1715
Mailing address
1601 Military Rd
Sioux City, IA 51103-1715
Phone (712) 252-4547
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 |
|---|---|---|---|
| 101146 | IA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Charities of the Diocese of Sioux City | Current | Accepting new patients |
Locations
1601 Military Rd
Sioux City, IA 51103
Phone (712) 252-4547
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux City, IA
- NPI 1952379554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638403200000",
"number": "1689332199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 MILITARY RD",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511031715",
"telephone_number": "712-252-4547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 MILITARY RD",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511031715",
"telephone_number": "712-252-4547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIZILA",
"first_name": "TYLER",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-12-01",
"last_updated": "2021-12-02",
"certification_date": "2021-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IA",
"license": "101146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sioux City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.