Organization Active NPI

Wadle and Assocites, P.C

  • Clinical Social Worker
  • Des Moines, IA
National Provider Identifier
1740458132
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0405 Issued in IA
Legal business name
WADLE AND ASSOCITES, P.C
Practice address
2327 70TH St
Des Moines, IA 50322-4825
Phone
(515) 270-1344
Fax
(515) 270-6515
NPI assigned
Feb 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Authorized official

Name
Mrs. Susan K McBroom, LMHC
Title
Counselor
Phone
(515) 270-1344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 0405 IA Primary

Addresses

Primary practice location

2327 70TH St
Des Moines, IA 50322-4825

Mailing address

2327 70TH St
Des Moines, IA 50322-4825
Phone (515) 270-1344

National Provider Directory

National Provider Directory
Tax ID family
Wadle and Associates3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1740458132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2327 70TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503224825",
            "telephone_number": "515-270-1344",
            "fax_number": "515-270-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2327 70TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503224825",
            "telephone_number": "515-270-1344",
            "fax_number": "515-270-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WADLE AND ASSOCITES, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "MCBROOM",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "515-270-1344",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "0405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.