Individual provider Active NPI

Wanda Pritzel, LISW

  • Clinical Social Worker
  • Des Moines, IA
National Provider Identifier
1396856498
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
000729 Issued in IA
Practice address
7177 Hickman Rd Ste 3
Des Moines, IA 50322-4844
Phone
(515) 570-2310
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 000729 IA Primary

Addresses

Primary practice location

7177 Hickman Rd Ste 3
Des Moines, IA 50322-4844

Mailing address

230 9TH Ave N
Fort Dodge, IA 50501-2411
Phone (515) 573-3138

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
000729IAMDClinical Social Worker
00729IAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414627200000",
    "number": "1396856498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 9TH AVE N",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505012411",
            "telephone_number": "515-573-3138",
            "fax_number": "515-573-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7177 HICKMAN RD STE 3",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503224844",
            "telephone_number": "515-570-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRITZEL",
        "first_name": "WANDA",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "000729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.