TYLEEN IRENE SANDSTROM (NPI# 1740738921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740738921 |
| Entity Type | Individual |
| Full Name | TYLEEN IRENE SANDSTROM |
| Credential | BSW |
| Practice Address |
2429 S Prairie Ave Pueblo CO 81005-2886 |
| Practice Telephone | 7195645070 |
| Practice Fax Number | 7198962874 |
| Mailing Telephone | 7195645070 |
| Mailing Fax Number | 7198962874 |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2016-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
2429 S PRAIRIE AVE |
| City | PUEBLO |
| State | CO |
| Zip Code | 81005-2886 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346406196 | Samantha Coleman | Counselor | 2429 S Prairie Ave, Pueblo, CO 81005 | 2008-07-31 |
| 1316588445 | Karla Lee Scull | Counselor | 2429 S Prairie Ave, Pueblo, CO 81005-2886 | 2019-09-30 |
| 1821569955 | Megan Lynn Garcia | Counselor | 2429 S Prairie Ave, Pueblo, CO 81005-2886 | 2018-12-16 |
| 1023589447 | Xaviera Turner | Counselor | 2429 S Prairie Ave, Pueblo, CO 81005-2886 | 2018-12-11 |
| 1518438928 | Brielle Byrd | Counselor | 2429 S Prairie Ave, Pueblo, CO 81005-2886 | 2018-12-10 |
| 1407330368 | Justin P Genova | Counselor | 2429 S Prairie Ave, Pueblo, CO 81005-2886 | 2018-09-17 |
| 1205310216 | Laura Padilla | Marriage & Family Therapist | 2429 S Prairie Ave, Pueblo, CO 81005-2886 | 2018-09-17 |
| 1184138158 | Dana G Lieser | Licensed Practical Nurse | 2429 S Prairie Ave, Pueblo, CO 81005-2886 | 2017-11-28 |
| 1720500952 | Kelley Revels | Registered Nurse | 2429 S Prairie Ave, Pueblo, CO 81005-2886 | 2017-07-10 |
| 1487106365 | Stacie Marie Gonzales | Counselor | 2429 S Prairie Ave, Pueblo, CO 81005-2886 | 2016-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225595630 | Kimberly Warfield | Specialist | 5825 W Hwy 78, Pueblo, CA 81005 | 2019-02-22 |
| 1417461823 | Yah Vision | Optometrist | 2568 Taylor Ln, Pueblo, CO 81005 | 2017-11-21 |
| 1245758168 | Jenny C Alas | Dentist | 2603 Vinewood Lane, Pueblo, CO 81005 | 2017-08-30 |
| 1801342472 | Cynthia Watson | Counselor | 2429 S. Prairie Avenue, Pueblo, CO 81005 | 2016-09-01 |
| 1598033664 | Kyle Andrew Bonds | Pharmacist | 2900 W. Northern Ave., Pueblo, CO 81005 | 2011-12-05 |
| 1184890915 | Hg Stringert Dds, Ms, PC | Dentist | 3955 Sandlewood Lane, Pueblo, CO 81005 | 2008-05-01 |
| 1992902423 | David Russell Baer | Dentist | 2041 Pepper Lane, Ste A, Pueblo, CO 81005 | 2007-06-28 |
| 1659443695 | Thomas Wesley Ready | Dentist | 643 So Pueblo Blvd, Pueblo, CO 81005 | 2006-11-14 |
| 1700969029 | Bradley Michael Almond | Dentist | 1221 S Pueblo Blvd, Pueblo, CO 81005 | 2006-10-23 |
| 1114009198 | Senior Harbors, Inc. | Psychologist | 2118 Chatalet Lane, Pueblo, CO 81005 | 2006-10-19 |
| Find all providers in zip 81005 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| 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. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225672744 | Julie Ruth Drake | Social Worker | 2406 Cliffmoor Ln, Pueblo, CO 81008-2351 | 2019-10-29 |
| 1750821989 | Cyndra A Shisler-santistevan | Social Worker | 2330 Acero Ave, 25, Pueblo, CO 81004-4177 | 2017-03-07 |
| 1801143904 | Elizabeth Saunders | Social Worker | 1523 Saratoga Rd, Pueblo, CO 81001-2010 | 2012-08-07 |
| 1477792166 | Sylvia Orlinda Marez-fransua | Social Worker | 301 N. Main St., Suite 110, Pueblo, CO 81003 | 2009-02-19 |
| 1851478119 | James Barnhill | Social Worker | 1515 Fortino Blvd Ste 130, Pueblo, CO 81008-1976 | 2006-11-01 |
| 1194342279 | Dominique Reaux | Social Worker | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2020-07-06 |
| 1326674987 | Robert Brooks Maurio | Social Worker | 2600 Oakshire Ln, Pueblo, CO 81001-5671 | 2020-03-16 |
| 1881244366 | Rayelle Ross | Social Worker | 1012 W Abriendo Ave, Pueblo, CO 81004-1128 | 2019-09-16 |
| 1275182800 | Austin Baca | Social Worker | 1012 W Abriendo Ave, Pueblo, CO 81004-1128 | 2019-09-06 |
| 1811542426 | Hans Drupiewski | Social Worker | 1302 Chinook Ln, Pueblo, CO 81001-1851 | 2019-08-09 |
| Find all providers in PUEBLO | ||||
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| 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.