Individual provider Active NPI

Tricia M Tentinger, LISW

  • Clinical Social Worker
  • Urbandale, IA
National Provider Identifier
1003107137
Registry record updated Apr 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06405 Issued in IA
Practice address
11333 Aurora Ave
Urbandale, IA 50322-7908
Phone
(515) 557-3169
NPI assigned
Apr 24, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 06405 IA Primary

Addresses

Primary practice location

11333 Aurora Ave
Urbandale, IA 50322-7908

Mailing address

8601 Westown Pkwy
16109
West Des Moines, IA 50266-1621
Phone (515) 419-9264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111006000019 IA Practitioner - Clinical Social Worker 1153593694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iowa Physicians Clinic Medical FoundationGroup PAC ID 8729992318, 1,254 clinicians

Practice addresses (Care Compare)

1776 W Lakes Pkwy
West Des Moines, IA 50266-8378
Phone (515) 241-3510

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Physicians Clinic Medical Foundation CurrentSince Jul 20, 2022 Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

6010 Mills Civic Pkwy
West Des Moines, IA 50266
Phone (515) 221-7800

6010 Mills Civic Pkwy
Ste 100
West Des Moines, IA 50266
Phone (515) 221-7800

1776 Westlakes Pkwy
Ste 100
West Des Moines, IA 50266
Phone (515) 241-3510

Networks

  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303603200000",
    "number": "1003107137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8601 WESTOWN PKWY",
            "address_2": "16109",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661621",
            "telephone_number": "515-419-9264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11333 AURORA AVE",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503227908",
            "telephone_number": "515-557-3169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENTINGER",
        "first_name": "TRICIA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-24",
        "last_updated": "2011-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "06405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbandale, IA

Sources for this page

Verify at the official NPI Registry.