Active NPI
Wellness Therapy and Consulting, LLC
- Clinical Social Worker
- Bettendorf, IA
National Provider Identifier
1477064897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- WELLNESS THERAPY AND CONSULTING, LLC
- Practice address
- 2395 Tech Dr Ste 9
Bettendorf, IA 52722-3277 - Phone
- (563) 484-1802
- NPI assigned
- Oct 12, 2017
- 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
- Amy Massie, LISW, MSW
- Title
- Owner
- Phone
- (563) 484-1802
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2395 Tech Dr Ste 9
Bettendorf, IA 52722-3277
Mailing address
2395 Tech Dr Ste 9
Bettendorf, IA 52722-3277
Phone (563) 484-1802
National Provider Directory
National Provider DirectoryPractitioners & 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": "1507766400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529107200000",
"number": "1477064897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2395 TECH DR STE 9",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527223277",
"telephone_number": "563-484-1802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2395 TECH DR STE 9",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527223277",
"telephone_number": "563-484-1802"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNESS THERAPY AND CONSULTING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-12",
"last_updated": "2018-06-16",
"status": "A",
"authorized_official_last_name": "MASSIE",
"authorized_official_first_name": "AMY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "563-484-1802",
"authorized_official_credential": "LISW, MSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bettendorf, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.