Jillian Marie Wiese, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

101399 Issued in IA

Practice address

555 Cameron Way Unit 2
North Liberty, IA 52317-4901

Phone

(319) 804-9312

NPI assigned

Jan 22, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Alli Center LLC

  • Clinical Social Worker
  • Coralville, IA
  • NPI 1699286427
  NPD

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1366203820",
    "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": "319-800-9046",
            "fax_number": "319-449-3845"
        },
        {
            "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": "523174901",
            "telephone_number": "319-804-9312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIESE",
        "first_name": "JILLIAN",
        "middle_name": "MARIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "101399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Weetman, OT
• Amy Wheeler
• Cierra Dawn Wheelwright, COTA/L
• Brent William Whited, MD
• Madison Leeann Wieland, LMSW
• William Burke LTD
• Melissa Kessler Williams, PHARMD
• Jonathan Walter Willoughby, DNP DET BSN RN
• Brian P.D. Wills, M.D.
• Erin Marie Winkler

• Social Worker in North Liberty, IA
• Providers in North Liberty, IA by specialty
• Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.