Lacey Ann Wolf, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

002119 Issued in IA

Practice address

3314 Canterbury CT
Ames, IA 50014-3900

Phone

(515) 310-1834

Fax

(515) 513-3155

NPI assigned

Dec 21, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Lacey Ann Tiefenthaler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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.

• Childserve Therapy, Inc.

  • Physical Therapist
  • Johnston, IA
  • NPI 1679614754

  Speech-Language Pathologist

  NPD (past)
• The Childserve Clinic Inc

  • Pediatrics Physician
  • Johnston, IA
  • NPI 1033449145
  NPD (past)

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1841569746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3314 CANTERBURY CT",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500143900",
            "telephone_number": "515-310-1834",
            "fax_number": "515-513-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3314 CANTERBURY CT",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500143900",
            "telephone_number": "515-310-1834",
            "fax_number": "515-513-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "LACEY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-21",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "002119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LACEY",
            "last_name": "TIEFENTHALER",
            "middle_name": "ANN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rhyann Kasady Wiseman
• Faye Marion Witkowski
• Courtni L Witt, PHARMD
• Brooks Witter, MA, LPC, LMHC
• Wittrock & Eckhart, PLLC
• Peter Quintin Wolfe, MD
• Karen M. Wolters, PA-C
• Brooke Woods-Stufflebeem, MA, LISW
• Alan Craig Worthington, RPH
• Emma Caitlyn Wright, OTD

• Speech-Language Pathologist in Ames, IA
• Providers in Ames, IA by specialty
• Speech-Language Pathologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.