Leah Ann Waldie, BS

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

3001 US Hwy 12, E
Suite 160
Menomonie, WI 54751-3045

Phone

(715) 232-1116

Fax

(715) 232-5987

NPI assigned

Jun 21, 2016

Last updated

Jun 22, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1497105498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 E GRANT AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016491",
            "telephone_number": "715-831-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 US HWY 12, E",
            "address_2": "SUITE 160",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547513045",
            "telephone_number": "715-232-1116",
            "fax_number": "715-232-5987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDIE",
        "first_name": "LEAH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-21",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Menomonie, WI
• Providers in Menomonie, WI by specialty
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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.