Katrina (Tina) K Wederquist Zanders, MS, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LMSW02963 Issued in IA

Practice address

409 1/2 W 7TH
Catholic Charities
Carroll, IA 51401

Phone

(712) 792-9597

Fax

(712) 792-6146

NPI assigned

Oct 21, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Tina K Zanders Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Catholic Charities of the Diocese of Sioux City

  dba Catholic Charities

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sioux City, IA
  • NPI 1952379554
  NPD (past)

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445385600000",
    "number": "1265804082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13",
            "address_2": "409 1/2 W 7TH CATHOLIC CHARITIES",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "51401",
            "telephone_number": "712-792-9597",
            "fax_number": "712-792-6146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 1/2 W 7TH",
            "address_2": "CATHOLIC CHARITIES",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "51401",
            "telephone_number": "712-792-9597",
            "fax_number": "712-792-6146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEDERQUIST ZANDERS",
        "first_name": "KATRINA (TINA)",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "MS, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-21",
        "last_updated": "2015-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "LMSW02963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "ZANDERS",
            "middle_name": "K",
            "prefix": "MRS.",
            "credential": "MS, LMSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Matthew Thomas Wessling, ARNP

• Social Worker in Carroll, IA
• Providers in Carroll, IA by specialty
• Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; 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.