Individual provider Active NPI

Wendy Tillgren, LISW, LCSW

  • Clinical Social Worker
  • West Des Moines, IA
National Provider Identifier
1245533348
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007572 Issued in IA
Practice address
4949 Pleasant St Ste 104
West Des Moines, IA 50266-5494
Phone
(515) 369-0034
Fax
(844) 381-0919
NPI assigned
Dec 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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 007572 IA Primary

Addresses

Primary practice location

4949 Pleasant St Ste 104
West Des Moines, IA 50266-5494

Mailing address

4949 Pleasant St Ste 104
West Des Moines, IA 50266-5494
Phone (515) 369-0034

Other practice location 1

666 Walnut St
Ste 1610
Des Moines, IA 50309-3974
Phone (515) 360-0034

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
I20110527000433 IA Practitioner - Clinical Social Worker 1254518335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4949 Pleasant St
Suite 140
West Des Moines, IA 50266-5494
Phone (515) 369-0034

666 Walnut St
Suite 1610
Des Moines, IA 50309-3974

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007572IAMDClinical Social Worker

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25392/brand/1/csg/1/fhir/r4

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": "1291939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1245533348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 PLEASANT ST STE 104",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665494",
            "telephone_number": "515-369-0034",
            "fax_number": "844-381-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 PLEASANT ST STE 104",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665494",
            "telephone_number": "515-369-0034",
            "fax_number": "844-381-0919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "666 WALNUT ST",
            "address_2": "STE 1610",
            "address_purpose": "LOCATION",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503093974",
            "country_code": "US",
            "telephone_number": "515-360-0034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TILLGREN",
        "first_name": "WENDY",
        "credential": "LISW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-10",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "007572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.