Individual provider Active NPI

Victoria Marie Wieben, LMSW

  • Clinical Social Worker
  • Cedar Rapids, IA
National Provider Identifier
1215220223
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007626 Issued in IA
Practice address
3113 1St Ave SW
Cedar Rapids, IA 52405-4524
Phone
(319) 361-6529
NPI assigned
May 24, 2011
Last updated
May 24, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 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 007626 IA Primary

Addresses

Primary practice location

3113 1St Ave SW
Cedar Rapids, IA 52405-4524

Mailing address

PO Box 4
Van Horne, IA 52346-0004
Phone (319) 361-6529

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Light Counseling, P.C. Current Accepting new patients
Grace C Mae Advocate Center Past Accepting new patients
Grace C Mae Advocate Center, Inc PastSince Jul 21, 2014 Accepting new patients
Grace C Mae Advocate Center Past Accepting new patients

Locations

6165 NW 86th St
Johnston, IA 50131
Phone (515) 468-2996

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1215220223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4",
            "city": "VAN HORNE",
            "state": "IA",
            "postal_code": "523460004",
            "telephone_number": "319-361-6529",
            "fax_number": "319-228-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3113 1ST AVE SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524054524",
            "telephone_number": "319-361-6529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEBEN",
        "first_name": "VICTORIA",
        "middle_name": "MARIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-24",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "007626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.