Amanda Tallman

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LMSW-21948 Issued in AZ

Practice address

3735 W Beardsley Rd
Glendale, AZ 85308-4711

Phone

(623) 252-4357

NPI assigned

Sep 26, 2024

Last updated

Sep 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1790503084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7937 W SWEETWATER AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3735 W BEARDSLEY RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084711",
            "telephone_number": "623-252-4357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16601 N 40th St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850323345",
            "country_code": "US",
            "telephone_number": "623-252-4357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALLMAN",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "LMSW-21948",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LMSW-21948",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olysia N Takla, DMD
• Angelita Maria Talamantes, OTR/L
• Ruchi Talanki, RDN
• Mireya Talavera, PHARM D.
• Talk It Out Therapy LLC
• Marian S Talmon, FNP
• Fadi Tamer
• Letty Gupit Tan-Fermo, M.D.
• Dennis J Tan
• Raymund M Tanaka, DDS

• Social Worker in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.