MEDICARE: RAY TALLEY LSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041S0200X	School Social Worker	6952	ND

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1381005654	OTHER	SD	TRICARE

General Provider Information

NPI Number	:	1225583636
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAY TALLEY LSW

Provider Business Mailing Address
First Line	:	128 SOO LINE DR
Second Line	:
City	:	BISMARCK
State	:	ND
Zip	:	58501-3339
Country	:	US
Telephone Number	:	701-323-4000
Fax Number	:

Provider Business Practice Location Address
First Line	:	919 S 12TH ST
Second Line	:
City	:	BISMARCK
State	:	ND
Zip	:	58504-5977
Country	:	US
Telephone Number	:	701-323-4000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2016
Last Update Date	:	12/17/2025

Similar Medicare Providers

1841983186 — DANIKA BURKETT LPCC
Practice Location Address:

600 S 2ND ST STE 220
BISMARCK, ND
58504-5729

Practice Phone: 701-224-9611
Practice Fax:

1215640180 — COAL COUNTRY COMMUNITY HEALTH CENTER
Practice Location Address:

914 S 12TH ST STE 101A
BISMARCK, ND
58504-5941

Practice Phone: 701-873-4445
Practice Fax:

1043176845 — ANDREA BECKER
Practice Location Address:

600 S 2ND ST STE 201
BISMARCK, ND
58504-5729

Practice Phone: 701-258-3780
Practice Fax: 701-751-1328

1245414457 — DR. JOSH E BORSTAD OD
Practice Location Address:

2717 ROCK ISLAND PL STE 2
BISMARCK, ND
58504-7724

Practice Phone: 701-258-3402
Practice Fax: 701-258-7897

1285598789 — BIS-MAN EYECARE PLLC
Practice Location Address:

2717 ROCK ISLAND PL STE 2
BISMARCK, ND
58504-7724

Practice Phone: 701-258-3402
Practice Fax:

1063386753 — VICTORIA COLE
Practice Location Address:

538 SHERWOOD LN
BISMARCK, ND
58504-7364

Practice Phone: 701-595-9059
Practice Fax:

Directions to “ RAY TALLEY LSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.