MS. KIMBERLY TALLON - NPI 1740679745 - Social Worker in Dubuque, IA

Q: What is Kimberly Tallon's NPI number?

The NPI number for Kimberly Tallon is 1740679745. It was assigned to this individual provider in the NPPES registry on January 13, 2015.

Q: What is Kimberly Tallon's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: Is Kimberly Tallon enrolled in Medicare?

No. Kimberly Tallon has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Tallon was last updated on October 24, 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.

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About Ms. Kimberly Tallon NPPES

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

MS. KIMBERLY TALLON (NPI 1740679745) is an individual clinical provider in Dubuque, Iowa, licensed in Iowa (093770) and active in the NPI registry since January 2015. She has opted out of Medicare through October 1, 2027 and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1740679745

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMS. KIMBERLY TALLON

Location Address3375 LAKE RIDGE DRDubuque, IA 52003-7864

Mailing Address2345 Poplar StDubuque, IA 52001-4136 · (515) 520-7877

Phone(563) 207-8932

Sole ProprietorNo

Enumeration DateJanuary 13, 2015

Last NPPES UpdateOctober 24, 2019

✔ NPI 1740679745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in IA · 093770

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 093770 (IA)

3375 LAKE RIDGE DR, Dubuque, IA 52003

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Secondary Practice Location 1

Location 1126 E Chestnut St, Replogole Counseling CenterChicago, IL 60611-2014 · Phone (312) 787-8425 ext. 2242

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Kimberly Tallon has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2023 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2023

Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 11

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

EMILY A ROLING ARNP

Nurse Practitioner (Family)