Individual provider Active NPI

Tasha N Wiele, L.M.S.W.

  • Clinical Social Worker
  • Cedar Rapids, IA
National Provider Identifier
1689834087
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06774 Issued in IA
Practice address
2309 C St SW
Cedar Rapids, IA 52404-3707
Phone
(319) 365-9164
Fax
(319) 365-6411
NPI assigned
Jun 10, 2008
Last updated
Jun 10, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 06774 IA Primary

Addresses

Primary practice location

2309 C St SW
Cedar Rapids, IA 52404-3707

Mailing address

2309 C St SW
Cedar Rapids, IA 52404-3707
Phone (319) 365-9164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250717002289 IA Practitioner - Clinical Social Worker 2062927056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1616 Cedar St
Muscatine, IA 52761-3453
Phone (309) 779-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06774IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Robert Young Center for Community Mental Health CurrentSince May 26, 2025 Accepting new patients
The Robert Young Center for Community Mental Health CurrentSince May 26, 2025 Accepting new patients
The Robert Young Center for Community Mental Health Current Accepting new patients

Locations

4622 Progress Dr
Ste A
Davenport, IA 52807
Phone (563) 742-5800

1616 Cedar St
Muscatine, IA 52761
Phone (309) 779-3000

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213056000000",
    "number": "1689834087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 C ST SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524043707",
            "telephone_number": "319-365-9164",
            "fax_number": "319-365-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 C ST SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524043707",
            "telephone_number": "319-365-9164",
            "fax_number": "319-365-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIELE",
        "first_name": "TASHA",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "L.M.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "06774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.