Individual provider Active NPI

Traci M. Ludwig, MSW, LISW, ACSW

  • Social Worker
  • Cedar Falls, IA
National Provider Identifier
1396784872
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
03351 Issued in IA
Practice address
2802 Orchard Dr
Cedar Falls, IA 50613-5898
Phone
(319) 268-1922
Fax
(319) 268-1934
NPI assigned
Jun 6, 2006
Last updated
Jul 16, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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 03351 IA Primary

Addresses

Primary practice location

2802 Orchard Dr
Cedar Falls, IA 50613-5898

Mailing address

2101 Kimball Ave
LL14
Waterloo, IA 50702-5063
Phone (319) 272-1590

Other names 1

  • Traci M Ristau Former name

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
I20060920000001 IA Practitioner - Clinical Social Worker 5193720472 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical Center IncGroup PAC ID 0244148732, 234 clinicians

Practice addresses (Care Compare)

2055 Kimball Ave
Waterloo, IA 50702-5014
Phone (319) 272-2112

2055 Kimball Ave
Suite 400
Waterloo, IA 50702-5047
Phone (319) 272-0000

226 Bluebell Rd
Cedar Falls, IA 50613-6328
Phone (319) 575-5800

905 Franklin St
Waterloo, IA 50703-4407
Phone (319) 874-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03351IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peoples Community Health Clinic, Inc. CurrentSince Apr 7, 2024 Accepting new patients
Peoples Community Health Clinic, Inc CurrentSince Apr 7, 2024 Accepting new patients
Covenant Medical Center Inc Social Worker CurrentSince May 30, 2006 Accepting new patients
Peoples Community Health Clinic, Inc Current Accepting new patients
Laboratory Corporation of America Holdings Current Accepting new patients
Covenant Medical Center, Inc. CurrentSince May 30, 2006 Accepting new patients
Psychiatric Associates of Northeast Iowa PC Social Worker Past Accepting new patients

Locations

751 Main St
Arlington, IA 50606
Phone (563) 633-6965

226 Bluebell Rd
Cedar Falls, IA 50613
Phone (319) 575-5800

2101 Kimball Ave
#14
Waterloo, IA 50702

3421 W 9th St
Waterloo, IA 50702
Phone (319) 272-7050

905 Franklin St
Waterloo, IA 50703
Phone (319) 272-4300

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1396784872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 KIMBALL AVE",
            "address_2": "LL14",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025063",
            "telephone_number": "319-272-1590",
            "fax_number": "319-272-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 ORCHARD DR",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506135898",
            "telephone_number": "319-268-1922",
            "fax_number": "319-268-1934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDWIG",
        "first_name": "TRACI",
        "middle_name": "M.",
        "credential": "MSW, LISW, ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "03351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACI",
            "last_name": "RISTAU",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cedar Falls, IA

Sources for this page

Verify at the official NPI Registry.