Michelle Elizabeth Pralle, BA

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

235 S Eisenhower Ave
Mason City, IA 50401-1562

Phone

(641) 424-2075

Fax

(641) 424-9555

NPI assigned

Nov 17, 2010

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wellsource

  • Psychologist
  • Mason City, IA
  • NPI 1992818249

  Social Worker

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 17, 2010.

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289952000000",
    "number": "1598067928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 S EISENHOWER AVE",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504011562",
            "telephone_number": "641-424-2075",
            "fax_number": "641-424-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 S EISENHOWER AVE",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504011562",
            "telephone_number": "641-424-2075",
            "fax_number": "641-424-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRALLE",
        "first_name": "MICHELLE",
        "middle_name": "ELIZABETH",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-17",
        "last_updated": "2010-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Prahm, APRN
• Prairie Ridge Integrated Behavioral Healthcare
• Prairie Ridge Integrated Behavioral Healthcare
• Prairie Ridge Integrated Behavioral Healthcare
• Prairie Ridge Integrated Health Care
• Vickie M Pralle, BA
• Brittany Ann Promes, LMSW
• Paul L Pulford, SA-C
• Sara Jean Puttmann, BA CADC
• Shoaib Syed Qadri

• All providers in Mason City, IA
• Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.