Active NPI
Melanie Kaye Wenzel, MSW, LISW
- Clinical Social Worker
- Johnston, IA
National Provider Identifier
1528297033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1819
- Practice address
- 6165 NW 86TH St
Johnston, IA 50131 - Phone
- (515) 252-2522
- Fax
- (515) 252-2523
- NPI assigned
- Jul 6, 2009
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1819 | IA | Primary |
Addresses
Primary practice location
6165 NW 86TH St
Johnston, IA 50131
Mailing address
6165 NW 86TH St
Johnston, IA 50131
Phone (515) 252-2522
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 |
|---|---|---|---|
| 1819 | IA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248307200000",
"number": "1528297033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6165 NW 86TH ST",
"city": "JOHNSTON",
"state": "IA",
"postal_code": "50131",
"telephone_number": "515-252-2522",
"fax_number": "515-252-2523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6165 NW 86TH ST",
"city": "JOHNSTON",
"state": "IA",
"postal_code": "50131",
"telephone_number": "515-252-2522",
"fax_number": "515-252-2523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENZEL",
"first_name": "MELANIE",
"middle_name": "KAYE",
"name_prefix": "Ms.",
"credential": "MSW, LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-06",
"last_updated": "2009-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "1819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johnston, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.