Organization Active NPI

Wellness Therapy and Consulting, LLC

  • Clinical Social Worker
  • Bettendorf, IA
National Provider Identifier
1477064897
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Jun 16, 2018

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

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": "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.

Verify at the official NPI Registry.