Organization Active NPI

Carmella Wold LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • De Witt, IA
National Provider Identifier
1417812918
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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

Updated by the provider on Dec 17, 2025

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

Authorized official

Name
Carmella Angelina Wold, LCSW, LISWNPI 1215294541
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.