Mia Belle Reisdorf, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

13083-123 Issued in WI

Practice address

1120 Oak Ridge Dr
Eau Claire, WI 54701-6133

Phone

(715) 246-4840

NPI assigned

Nov 11, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1740004316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13519 14TH ST",
            "city": "OSSEO",
            "state": "WI",
            "postal_code": "547587177",
            "telephone_number": "815-210-8739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 OAK RIDGE DR",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016133",
            "telephone_number": "715-246-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISDORF",
        "first_name": "MIA",
        "middle_name": "BELLE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-11",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "13083-123",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "135219121",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dale Lee Reid, MD
• Jennifer Rae Reimer, NP
• Karen Reimers, M.D.
• Mary Alma Reineke, PTA
• Crystal Reines, LPC-IT
• Tara Elizabeth Reitan
• Sarah P. Reiter, APNP
• Taylor Reiter, MS, LPC-IT
• Reva Rekowski
• Reliable Medical Supply LLC

• Clinical Social Worker in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.