Individual provider Active NPI

Tylaiah Saulsberry, LMSW

  • Clinical Social Worker
  • Des Moines, IA
National Provider Identifier
1720873987
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
128757 Issued in IA
Practice address
4309 University Ave
Des Moines, IA 50311-3423
Phone
(515) 996-5935
Fax
(515) 414-7638
NPI assigned
Apr 10, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 128757 IA Primary

Addresses

Primary practice location

4309 University Ave
Des Moines, IA 50311-3423

Mailing address

5125 NE 23Rd Ave Unit 3311
Pleasant Hill, IA 50327-7033
Phone (515) 339-6291

Other practice location 1

5125 NE 23rd Ave Unit 3311
Pleasant Hill, IA 50327-7033
Phone (515) 339-6291

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
128757IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Forward Consulting LLC CurrentSince Apr 13, 2025 Accepting new patients

Locations

4309 University Ave
Des Moines, IA 50311
Phone (515) 410-1716

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.

NPI Registry JSON

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

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1720873987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5125 NE 23RD AVE UNIT 3311",
            "city": "PLEASANT HILL",
            "state": "IA",
            "postal_code": "503277033",
            "telephone_number": "515-339-6291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4309 UNIVERSITY AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503113423",
            "telephone_number": "515-996-5935",
            "fax_number": "515-414-7638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5125 NE 23rd Ave Unit 3311",
            "address_purpose": "LOCATION",
            "city": "Pleasant Hill",
            "state": "IA",
            "postal_code": "503277033",
            "country_code": "US",
            "telephone_number": "515-339-6291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAULSBERRY",
        "first_name": "TYLAIAH",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "128757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.