Tracey Malesa-Wheaton, LCSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

TRACEY MALESA-WHEATON, LCSW, LLC

Practice address

429 W Lasalle Ave Apt 2
South Bend, IN 46601-1166

Phone

(574) 520-8444

Fax

(574) 367-2154

NPI assigned

May 2, 2023

Organization subpart

No

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

Authorized official

Name

Tracey Malesa-WheatonNPI 1265861512

Title

Owner

Phone

(574) 520-4444

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracey Lynn Malesa-Wheaton, LCSW

  • Clinical Social Worker
  • South Bend, IN
  • NPI 1265861512
  NPD Authorized official

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

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1912696451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 W LASALLE AVE APT 2",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011166",
            "telephone_number": "574-520-8444",
            "fax_number": "574-367-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 W LASALLE AVE APT 2",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011166",
            "telephone_number": "574-520-8444",
            "fax_number": "574-367-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACEY MALESA-WHEATON, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-02",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "MALESA-WHEATON",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-520-4444"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur S Toth, M.D.
• Mark Ernest Toth, M.D.
• Frances Marie Touhey, MSW
• Shelby L Towner, NP
• Margaret Townsend
• Luann Marie Tracey, FNP
• Transcend Orthotics & Prosthetics, LLC
• Haley Rose Traxler, RBT
• Donald Trease, O.D.
• Tree of Life Healing Arts, LLC

• Clinical Social Worker in South Bend, IN
• Providers in South Bend, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.