Active NPI
Carmella Wold LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- De Witt, IA
National Provider Identifier
1417812918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- CARMELLA WOLD LLC
- Practice address
- 900 6TH Ave
De Witt, IA 52742-1331 - Phone
- (708) 288-8769
- NPI assigned
- Dec 17, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carmella Angelina Wold, LCSW, LISW
- Title
- Owner/Therapist
- Phone
- (708) 288-8769
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
900 6TH Ave
De Witt, IA 52742-1331
Mailing address
1103 Brookview Dr
De Witt, IA 52742-9290
Phone (563) 293-4866
National Provider Directory
National Provider DirectoryLocations
900 6th Ave
De Witt, IA 52742
Phone (563) 659-2845
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Benton Harbor, MI
- NPI 1215294541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765929600000",
"number": "1417812918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1103 BROOKVIEW DR",
"city": "DE WITT",
"state": "IA",
"postal_code": "527429290",
"telephone_number": "563-293-4866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 6TH AVE",
"city": "DE WITT",
"state": "IA",
"postal_code": "527421331",
"telephone_number": "708-288-8769"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARMELLA WOLD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-17",
"last_updated": "2025-12-17",
"certification_date": "2025-12-17",
"status": "A",
"authorized_official_last_name": "WOLD",
"authorized_official_first_name": "CARMELLA",
"authorized_official_middle_name": "ANGELINA",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "708-288-8769",
"authorized_official_credential": "LCSW, LISW"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in De Witt, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.