Individual provider Active NPI

Kinsey Wohlers, LISW, IACD

  • Social Worker
  • North Liberty, IA
National Provider Identifier
1275027633
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
091294 Issued in IA
Practice address
555 Cameron Way Unit 2
North Liberty, IA 52317-4704
Phone
(319) 804-9312
NPI assigned
Jun 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 091294 IA Primary

Addresses

Primary practice location

555 Cameron Way Unit 2
North Liberty, IA 52317-4704

Mailing address

555 Cameron Way Unit 2
North Liberty, IA 52317-4704

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
I20200831002389 IA Practitioner - Clinical Social Worker 0446677835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alli Center LLCGroup PAC ID 9638439128, 12 clinicians

Practice addresses (Care Compare)

555 Cameron Way Unit
2 Alli Center North Liberty
North Liberty, IA 52317-4704
Phone (319) 804-9312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
091294IAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alli Center LLC CurrentSince Aug 28, 2020 Accepting new patients

Locations

1150 5th St
Ste 268
Coralville, IA 52241
Phone (319) 775-0605

1150 5th St
Ste 270
Iowa City, IA 52241
Phone (319) 804-9312

555 Cameron Way
Unit 2
North Liberty, IA 52317
Phone (319) 800-9046

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": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1275027633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 CAMERON WAY UNIT 2",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523174704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 CAMERON WAY UNIT 2",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523174704",
            "telephone_number": "319-804-9312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOHLERS",
        "first_name": "KINSEY",
        "credential": "LISW, IACD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "091294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Liberty, IA

Sources for this page

Verify at the official NPI Registry.