Individual provider Active NPI

Daniel Tallman, LMSW, CADC

  • Clinical Social Worker
  • North Liberty, IA
National Provider Identifier
1700231214
Registry record updated Jul 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
095366 Issued in IA
Practice address
595 Ashley CT Ste 7
North Liberty, IA 52317-4758
Phone
(319) 621-2587
NPI assigned
May 3, 2016
Last updated
Jul 20, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 17049 IA
Clinical Social Worker 1041C0700X 095366 IA Primary

Addresses

Primary practice location

595 Ashley CT Ste 7
North Liberty, IA 52317-4758

Mailing address

1335 Hancock St
North Liberty, IA 52317-4852
Phone (319) 621-2587

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

LicenseStateTypeSpecialty
17049IAMDAddiction (Substance Use Disorder) Counselor
095366IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tallman Health PLC Clinical CurrentSince Feb 1, 2020 Accepting new patients

Locations

2441 Coral Ct
Ste 4
Coralville, IA 52241
Phone (319) 853-8015

595 Ashley Ct
Ste 7
North Liberty, IA 52317
Phone (319) 343-7650

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563580800000",
    "number": "1700231214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 HANCOCK ST",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523174852",
            "telephone_number": "319-621-2587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 ASHLEY CT STE 7",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523174758",
            "telephone_number": "319-621-2587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLMAN",
        "first_name": "DANIEL",
        "credential": "LMSW, CADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-03",
        "last_updated": "2019-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "17049",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "095366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Liberty, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2019; 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.