TIFFANY SAMUELSON (NPI# 1083075006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083075006 |
| Entity Type | Individual |
| Full Name | TIFFANY SAMUELSON |
| Credential | LMSW, CADC |
| Practice Address |
1021 Nebraska St Sioux City IA 51105-1436 |
| Mailing Address |
3320 W 4th St Sioux City IA 51103-3200 |
| Practice Telephone | 1225224777 |
| Practice Fax Number | 7122525920 |
| Mailing Telephone | 7122020777 |
| Mailing Fax Number | 7122342399 |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2019-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
13042 | IA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
073276 | IA | Behavioral Health & Social Service Providers |
| Street Address |
1021 NEBRASKA ST |
| City | SIOUX CITY |
| State | IA |
| Zip Code | 51105-1436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528060696 | Michael A Piplani | Family Medicine | 1021 Nebraska St, Sioux City, IA 51105-1436 | 2005-06-02 |
| 1740890748 | Laura Kyriss | Advanced Practice Midwife | 1021 Nebraska St, Sioux City, IA 51105-1436 | 2020-08-04 |
| 1902424161 | Jacqueline E Clark | Advanced Practice Midwife | 1021 Nebraska St, Sioux City, IA 51105-1436 | 2020-07-13 |
| 1295217529 | Heather Jo Stehr | Nurse Practitioner | 1021 Nebraska St, Sioux City, IA 51105-1436 | 2018-09-04 |
| 1538671961 | Jamie Ann Wright | Nurse Practitioner | 1021 Nebraska St, Sioux City, IA 51105-1436 | 2017-10-25 |
| 1427419449 | Marcelina Cockburn | Counselor | 1021 Nebraska St, Sioux City, IA 51105-1436 | 2016-03-18 |
| 1083082622 | Elisabeth Franzik Giles | Social Worker | 1021 Nebraska St, Sioux City, IA 51105-1436 | 2015-09-14 |
| 1730588526 | Vinh Quang Nguyen | Dentist | 1021 Nebraska St, Sioux City, IA 51105-1436 | 2014-08-18 |
| 1366857229 | Ashley Huber | Dentist | 1021 Nebraska St, Sioux City, IA 51105-1436 | 2014-06-30 |
| 1821335654 | Jill K Bundy | Physician Assistant | 1021 Nebraska St, Sioux City, IA 51105-1436 | 2013-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902454465 | Andrea Marie Parman | Dietitian, Registered | Hy-vee #1615 3301 Gordon Drive, Sioux City, IA 51105 | 2019-08-28 |
| 1457727505 | Live Well Home Care LLC | In Home Supportive Care | 519 12th St, Sioux City, IA 51105 | 2015-08-12 |
| 1124403654 | Nicole Anne Keegan | Counselor | 1221 Pierce Street, Sioux City, IA 51105 | 2015-07-27 |
| 1396888236 | Siouxland Residential Services Inc | Assisted Living Facility | 1815 Pierce Street, Sioux City, IA 51105 | 2007-02-14 |
| 1063495810 | Siouxland Paramedics Inc | Ambulance | 1701 Terminal Drive, Sioux City, IA 51105 | 2005-11-25 |
| 1003461518 | Mvp Integrative Health | Counselor | 1221 Pierce Street, Sioux City, IA 51105 | 2019-08-02 |
| 1356718811 | Courtney Anderson | Counselor | 1221 Pierce St, Sioux City, IA 51105 | 2015-08-31 |
| 1861678997 | Elizabeth Kelly Wessling | Physician Assistant | 1021 Nebraska Street, Sioux City, IA 51105 | 2008-01-18 |
| 1881795771 | Mary E Bachman | Counselor | 1021 Nebraska Street, Sioux City, IA 51105 | 2006-09-26 |
| 1891157137 | Thomas Jaynes | Counselor | 1800 Grandview Blvd, Sioux City, IA 51105-1026 | 2016-03-25 |
| Find all providers in zip 51105 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043823339 | Julie Jorstad | Counselor | 505 5th St Ste 700, Sioux City, IA 51101-1509 | 2020-08-26 |
| 1699268326 | Richard W Mechikoff | Counselor | 800 5th St Ste 200, Sioux City, IA 51101-1324 | 2018-06-07 |
| 1679081194 | Morgan Marie O'hern | Counselor | 2801 S Glass St, Sioux City, IA 51106-3309 | 2018-01-18 |
| 1003366329 | Jacob Jerry Jackson | Counselor | 1700 Helmer St, Sioux City, IA 51103-2834 | 2016-10-11 |
| 1508212085 | Brianna Steffe | Counselor | 3200 W 4th St, Sioux City, IA 51103-3204 | 2016-05-13 |
| 1891157137 | Thomas Jaynes | Counselor | 1800 Grandview Blvd, Sioux City, IA 51105-1026 | 2016-03-25 |
| 1740642255 | Melissa Deroos | Counselor | 2309 Jackson St, Sioux City, IA 51104-3546 | 2016-03-23 |
| 1073975587 | Clint Eastling | Counselor | 2325 Douglas St, Sioux City, IA 51104-3830 | 2016-03-23 |
| 1467813477 | Julie Burke | Counselor | 3232 W 4th St, Sioux City, IA 51103-3204 | 2016-03-18 |
| 1124403654 | Nicole Anne Keegan | Counselor | 1221 Pierce Street, Sioux City, IA 51105 | 2015-07-27 |
| Find all providers in SIOUX CITY | ||||
| City | SIOUX CITY |
| Zip Code | 51105 |
Please comment or provide details below to improve the information on TIFFANY SAMUELSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.