Provider Demographics
NPI:1447144795
Name:OAKLAND, TYLER DALE (LICSW)
Entity type:Individual
Prefix:
First Name:TYLER
Middle Name:DALE
Last Name:OAKLAND
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 21ST ST SE STE 1
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:MN
Mailing Address - Zip Code:55912-4322
Mailing Address - Country:US
Mailing Address - Phone:507-437-6389
Mailing Address - Fax:507-396-4453
Practice Address - Street 1:101 21ST ST SE STE 1
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:MN
Practice Address - Zip Code:55912-4322
Practice Address - Country:US
Practice Address - Phone:507-437-6389
Practice Address - Fax:507-396-4453
Is Sole Proprietor?:No
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN317041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical