Active NPI
Carolina Isleib, LMSW
- Clinical Social Worker
- Coralville, IA
National Provider Identifier
1285367938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 113021
- Practice address
- 1150 5TH St Ste 270
Coralville, IA 52241-2933 - Phone
- (319) 804-9312
- Fax
- (319) 449-3845
- NPI assigned
- Jul 8, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 113021 | IA | Primary |
Addresses
Primary practice location
1150 5TH St Ste 270
Coralville, IA 52241-2933
Mailing address
1150 5TH St Ste 270
Coralville, IA 52241-2933
Phone (319) 804-9312
Other names 1
- Carolina Wade
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | carolina.wade@alli-center.com | Direct |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113021 | IA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alli Center LLC | Clinical | Current | Accepting new patients |
Locations
1150 5th St
Ste 270
Iowa City, IA 52241
Phone (319) 804-9312
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.
-
- Clinical Social Worker
- Coralville, IA
- NPI 1699286427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681257600000",
"number": "1285367938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 5TH ST STE 270",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "522412933",
"telephone_number": "319-804-9312",
"fax_number": "319-449-3845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 5TH ST STE 270",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "522412933",
"telephone_number": "319-804-9312",
"fax_number": "319-449-3845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISLEIB",
"first_name": "CAROLINA",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-08",
"last_updated": "2023-04-12",
"certification_date": "2023-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "113021",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "carolina.wade@alli-center.com",
"affiliation": "N",
"endpointDescription": "email address to send questions",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1150 5th St Ste 270",
"city": "Coralville",
"state": "IA",
"country_code": "US",
"postal_code": "522412933",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "CAROLINA",
"last_name": "WADE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Coralville, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.