Active NPI
Madison Leeann Wieland, LMSW
- Social Worker
- North Liberty, IA
National Provider Identifier
1437929890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 095268
- Practice address
- 278 Alydar Dr
North Liberty, IA 52317-4756 - Phone
- (515) 777-6026
- NPI assigned
- Jan 8, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 095268 | IA | Primary |
Addresses
Primary practice location
278 Alydar Dr
North Liberty, IA 52317-4756
Mailing address
278 Alydar Dr
North Liberty, IA 52317-4756
Phone (515) 777-6026
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 095268 | IA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1437929890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "278 ALYDAR DR",
"city": "NORTH LIBERTY",
"state": "IA",
"postal_code": "523174756",
"telephone_number": "515-777-6026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "278 ALYDAR DR",
"city": "NORTH LIBERTY",
"state": "IA",
"postal_code": "523174756",
"telephone_number": "515-777-6026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIELAND",
"first_name": "MADISON",
"middle_name": "LEEANN",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-08",
"last_updated": "2024-01-08",
"certification_date": "2024-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IA",
"license": "095268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Liberty, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.