Angela Wilson, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

06488 Issued in IA

Practice address

1024 Court Ave
Marengo, IA 52301-1438

Phone

(319) 777-9268

Fax

(319) 359-4034

NPI assigned

Sep 14, 2010

Sex

Female

Sole proprietor

Yes

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.

• Wilson Counseling Services, LLC

  • Clinical Social Worker
  • Marengo, IA
  • NPI 1861909194

  Clinical, IA

  Medicare reassignment NPD Authorized official
• Grace C Mae Advocate Center

  • Counselor
  • Cedar Rapids, IA
  • NPI 1851725592
  NPD (past)

Specialty

Clinical Social Worker

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 3, 2021.

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1811205792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 COURT AVE",
            "city": "MARENGO",
            "state": "IA",
            "postal_code": "523011438",
            "telephone_number": "319-800-8522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 COURT AVE",
            "city": "MARENGO",
            "state": "IA",
            "postal_code": "523011438",
            "telephone_number": "319-777-9268",
            "fax_number": "319-359-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ANGELA",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-14",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "06488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Varo, MS CCC-SLP
• Heidi M Wauters, ARNP
• Karen Frances Wayson-Kisling, NP-C
• Tiffany Willis, MD
• Wilson Counseling Services, LLC
• Louise Zook

• All providers in Marengo, IA
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.