Nolan Marie Vitzthum, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-1159 Issued in WY

Practice address

1721 Elmhurst Ave
Humboldt, IA 50548-1882

Phone

(307) 274-8705

Fax

(515) 420-8303

NPI assigned

Jun 9, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY, IA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Heart of Play LLC

  • Clinical Social Worker
  • Humboldt, IA
  • NPI 1396575569
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722643200000",
    "number": "1003265067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 ELMHURST AVE",
            "city": "HUMBOLDT",
            "state": "IA",
            "postal_code": "505481882",
            "telephone_number": "515-450-2583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 ELMHURST AVE",
            "city": "HUMBOLDT",
            "state": "IA",
            "postal_code": "505481882",
            "telephone_number": "307-274-8705",
            "fax_number": "515-420-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITZTHUM",
        "first_name": "NOLAN",
        "middle_name": "MARIE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-09",
        "last_updated": "2024-08-03",
        "certification_date": "2024-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW-1159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Belle Tierney, PHARM.D
• Trimark Physicians Group (UnityPoint Clinic)
• Trimark Physicians Group Inc (Trimark Physicians Group)
• Trinity Regional Medical Center (Unitypoint Clinic Family Medicine Humboldt)
• Christine Kay Vitzthum
• Jennifer Dawn Vought, ARNP
• Carol A Wadsley, RPH
• Kylie Weier
• Natalie Ruth Wergeland
• Kirk C Whittlesey

• Clinical Social Worker in Humboldt, IA
• Providers in Humboldt, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.