Tina Lynn Rice, LMSW, MSED, CADC
Individual provider Active NPI Social Worker · Anamosa, IA
NPI 1831625979 · NPPES record last updated Aug 17, 2021
Key facts
- NPI
- 1831625979
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 01330 (IA)
- Practice address
- 209 W Main St
Anamosa, IA 52205-1811 - Phone
- (319) 774-2045
- Fax
- (866) 496-4073
- NPI assigned
- May 11, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17071 | IA | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 17071 | IA | |
| Social Worker | 104100000X | 01330 | IA | Yes |
Addresses
Primary practice location
209 W Main St
Anamosa, IA 52205-1811
Mailing address
209 W Main St
Anamosa, IA 52205-1811
Phone (319) 774-2045
Other practice location 1
799 Main St
Suite 110
Dubuque, IA 52001-6844
Phone (563) 582-3784 ext. 129
Other providers in Anamosa, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.