Tana Ashley Fourdyce, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

006963 Issued in IA

Practice address

810 Main St
Muscatine, IA 52761-1848

Phone

(563) 320-7050

NPI assigned

Dec 8, 2009

Last updated

Mar 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2025 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Healing Pathway Therapy LLC

  • Clinical Social Worker
  • Muscatine, IA
  • NPI 1053104190
  NPD Authorized official
• Family Empowerment Services, Inc

  • Social Worker
  • Davenport, IA
  • NPI 1093942856
  NPD

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1992034755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 BRADY ST STE 206",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528034708",
            "telephone_number": "563-508-5205",
            "fax_number": "563-424-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 MAIN ST",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527611848",
            "telephone_number": "563-320-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOURDYCE",
        "first_name": "TANA",
        "middle_name": "ASHLEY",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-08",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "006963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Fangman, MS CFY SLP
• Kelsey Feller
• Stephanie Marie Fiser, MA, NCC
• Jason E. Flynn, H.I.S.
• Brett Weston Ford, P.T.
• Ashley Frantz
• Fresenius Medical Care Quad Cities, LLC (Fresenius Medical Care Muscatine)
• Angela Kay Freyermuth
• Mary Kathleen Gallagher, MD
• Maria-Teresa Galoso, M.D.

• Clinical Social Worker in Muscatine, IA
• Providers in Muscatine, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.