TAMMY ANDRADE-DE LA ISLA
NPI 1255937892
Social Worker in Fresno, CA

Active since December 09, 2020PECOS Enrolled
2560 W SHAW LN STE 104, FRESNO, CA 93711(559) 443-4800 Get Directions Write a Review

NPPES record last updated: December 11, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 11, 2023, Mar 13, 2023, Jan 12, 2021 and 1 more (4 updates tracked since 2020).

About Tammy Andrade-de La Isla NPPES

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

TAMMY ANDRADE-DE LA ISLA (NPI 1255937892) is an individual social worker in Fresno, California, licensed in California (LCSW119397) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255937892
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameTAMMY ANDRADE-DE LA ISLA
Location Address2560 W SHAW LN STE 104Fresno, CA 93711-2777
Mailing Address2560 W Shaw Ln Ste 104Fresno, CA 93711-2777 · (559) 443-4800
Sole ProprietorNo
Enumeration DateDecember 9, 2020
Last NPPES UpdateDecember 11, 20234 updates tracked since enumeration
NPPES CertifiedOctober 2, 2023
NPI 1255937892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Licenses Licensed in CA · LCSW119397 Licensed in CA · ASW91940
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License ASW91940 (CA)
2560 W SHAW LN STE 104, Fresno, CA 93711

Other Names 1

Former Name (1)Tammy Andrade

Secondary Practice Locations 2

Location 12020 High St Ste ESelma, CA 93662-3518 · Phone (559) 443-4800
Location 24939 E Yale AveFresno, CA 93727-1523 · Phone (559) 443-4800

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tammy Andrade-de La Isla 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.

Marriage & Family Therapist
2560 W SHAW LN STE 104
FRESNO, CA 93711
Social Worker
2560 W SHAW LN STE 104
FRESNO, CA 93711
Marriage & Family Therapist
2560 W SHAW LN STE 104
FRESNO, CA 93711
Day Training/Habilitation Specialist
2560 W SHAW LN STE 104
FRESNO, CA 93711
Marriage & Family Therapist
2560 W SHAW LN STE 104
FRESNO, CA 93711
Social Worker (Clinical)
2560 W SHAW LN STE 104
FRESNO, CA 93711
Marriage & Family Therapist
2560 W SHAW LN STE 104
FRESNO, CA 93711
Psychiatry & Neurology (Psychiatry)
2560 W SHAW LN STE 104
FRESNO, CA 93711

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tammy Andrade-de La Isla's NPI number?

The NPI number for Tammy Andrade-de La Isla is 1255937892. It was assigned to this individual provider in the NPPES registry on December 9, 2020. The provider is also known as Tammy Andrade.

Where is Tammy Andrade-de La Isla located?

Tammy Andrade-de La Isla practices at 2560 W Shaw Ln Ste 104, Fresno, CA 93711. The listed phone number is (559) 443-4800.

What is Tammy Andrade-de La Isla's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Tammy Andrade-de La Isla enrolled in Medicare?

Yes. Tammy Andrade-de La Isla is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tammy Andrade-de La Isla was last updated on December 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.