TIFFANY SAMUELSON LMSW, CADC
NPI 1083075006
Counselor - Addiction (Substance Use Disorder) in Sioux City, IA

Q: What is Tiffany Samuelson's NPI number?

The NPI number for Tiffany Samuelson is 1083075006. It was assigned to this individual provider in the NPPES registry on March 18, 2016.

Q: What is Tiffany Samuelson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Tiffany Samuelson was last updated on October 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 18, 2016PECOS Enrolled

1021 NEBRASKA ST, SIOUX CITY, IA 51105(122) 522-4777(712) 252-5920 Get Directions Write a Review

NPPES record last updated: October 30, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 30, 2019, Mar 18, 2016 (2 updates tracked since 2016).

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About Tiffany Samuelson Lmsw, Cadc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIFFANY SAMUELSON LMSW, CADC (NPI 1083075006) is an individual addiction (substance use disorder) provider in Sioux City, Iowa, licensed in Iowa (13042) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083075006

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameTIFFANY SAMUELSONCredential: LMSW, CADC

Location Address1021 NEBRASKA STSioux City, IA 51105-1436

Mailing Address3320 W 4th StSioux City, IA 51103-3200 · (712) 202-0777 · Fax (712) 234-2399

Phone(122) 522-4777

Fax(712) 252-5920

Sole ProprietorNo

Enumeration DateMarch 18, 2016

Last NPPES UpdateOctober 30, 20192 updates tracked since enumeration

✔ NPI 1083075006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in IA · 13042

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 073276 (IA)

1021 NEBRASKA ST, Sioux City, IA 51105

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Insurance Company, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tiffany Samuelson Lmsw, Cadc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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