Organization Active NPI

Tisdale Therapy LLC

  • Clinical Social Worker
  • Little Rock, AR
National Provider Identifier
1720982358
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TISDALE THERAPY LLC
Practice address
425 W Capitol Ave Ste 222
Little Rock, AR 72201-3440
Phone
(501) 830-1727
Fax
(501) 498-7384
NPI assigned
Oct 6, 2026
Last updated
Oct 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Authorized official

Name
Austin Tisdale, LCSW
Title
Manager
Phone
(501) 830-1727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

425 W Capitol Ave Ste 222
Little Rock, AR 72201-3440

Mailing address

425 W Capitol Ave Ste 222
Little Rock, AR 72201-3440
Phone (501) 830-1727

NPI Registry JSON

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

{
    "created_epoch": "1791244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791244800000",
    "number": "1720982358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W CAPITOL AVE STE 222",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722013440",
            "telephone_number": "501-830-1727",
            "fax_number": "501-498-7384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W CAPITOL AVE STE 222",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722013440",
            "telephone_number": "501-830-1727",
            "fax_number": "501-498-7384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TISDALE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-06",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A",
        "authorized_official_last_name": "TISDALE",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "501-830-1727",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.