Tracey Lynn Malesa-Wheaton, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

429 W Lasalle Ave Apt 2
South Bend, IN 46601-1166

Phone

(574) 520-8444

NPI assigned

Nov 7, 2013

Last updated

Mar 12, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Tree of Life Healing Arts, LLC

  • Clinical Social Worker
  • South Bend, IN
  • NPI 1942998273
  Medicare reassignment NPD Authorized official
• Tracey Malesa-Wheaton, LCSW, LLC

  • Clinical Social Worker
  • South Bend, IN
  • NPI 1912696451
  NPD Authorized official

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1265861512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 W LASALLE AVE APT 2",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011166",
            "telephone_number": "574-520-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 W LASALLE AVE APT 2",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011166",
            "telephone_number": "574-520-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALESA-WHEATON",
        "first_name": "TRACEY",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trang Khanh Mai, D.D.S.
• Amina Maisoon
• John R Majewski, MD
• Suzanne Makielski, MS, OTR
• Making a Difference LLC
• Javed A Malik, D.O.
• Adrianne Mallory
• Crystal Anne Malone
• Seqouiyah Malone, BSW
• Michael Alan Manbeck, M.D.

• Clinical Social Worker in South Bend, IN
• Providers in South Bend, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.