MANDI DOLIESLAGER (NPI# 1053831586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053831586 |
| Entity Type | Individual |
| Full Name | MANDI DOLIESLAGER |
| Credential | MSW, LCSW |
| Practice Address |
400 Central Ave Nw Ste 300 Orange City IA 51041-1332 |
| Practice Telephone | (712) 737-2635 |
| Practice Fax Number | 7127372344 |
| Mailing Telephone | 7127372635 |
| Mailing Fax Number | 7127372344 |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2017-06-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
086471 | IA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | LCSW LICENSE NUMBER | 086471 | 01 |
| Street Address |
400 CENTRAL AVE NW STE 300 |
| City | ORANGE CITY |
| State | IA |
| Zip Code | 51041-1332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982606901 | Arlene T Heynen | Social Worker | 400 Central Ave Nw Ste 300, Suite 103, Orange City, IA 51041-1332 | 2005-08-10 |
| 1891853750 | Melody Deanne Becker Pullman | Counselor | 400 Central Ave Nw Ste 300, Orange City, IA 51041-1332 | 2006-12-04 |
| 1720187867 | Deon J Wynia | Counselor | 400 Central Ave Nw Ste 300, Suite 103, Orange City, IA 51041-1332 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356451421 | Kurtis David Korver | Otolaryngology | 700 Juneau Ave Se, Orange City, IA 51041 | 2006-08-30 |
| 1356455414 | Hometown Businesses Inc. | Pharmacy | 512 8th St Se, Orange City, IA 51041 | 2006-08-18 |
| 1346206158 | Christian Thor Fisher | Nurse Anesthetist, Certified Registered | 1000 Lincoln Circle Se, Orange City, IA 51041 | 2006-04-21 |
| 1629030457 | David L Gohman Od Inc | Optometrist | 110 2nd St Nw, Orange City, IA 51041 | 2006-04-05 |
| 1891044921 | Sarah Louise Raak | Chiropractor | 721 8th St Se, Orange City, IA 51041 | 2012-09-05 |
| 1174820211 | Lindsey Wise | Physical Therapy Assistant | 1000 Lincoln Circle Se, Orange City, IA 51041 | 2011-02-25 |
| 1376793398 | Ryan S Mcclendon | Nurse Anesthetist, Certified Registered | 1000 Lincoln Cir Se, Orange City, IA 51041 | 2008-09-26 |
| 1013987007 | Orange City Municipal Hospital | Skilled Nursing Facility | 1005 7th St Ne, Orange City, IA 51041-1183 | 2006-01-24 |
| 1952947129 | Heidi Jo Hoisington | Occupational Therapist | 1007 7th St Ne, Orange City, IA 51041-1190 | 2019-11-22 |
| 1063513927 | All Care Medical Equipment | Durable Medical Equipment & Medical Supplies | 109 3rd St Ne, Orange City, IA 51041-1301 | 2006-09-25 |
| Find all providers in zip 51041 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033636048 | Kimberly Michelle Belk | Social Worker | 300 Treemonte Dr, Orange City, FL 32763 | 2017-08-30 |
| 1093259194 | Kelly Jo Bowles | Social Worker | 205 N Industrial Dr Ste 1, Orange City, FL 32763-7438 | 2016-12-07 |
| 1215286448 | Briana Elise Van Der Zwaag | Social Worker | 1217 Highway 10 W, Orange City, IA 51041-1500 | 2012-09-04 |
| 1538495007 | Melissa A Ohden | Social Worker | 209 1st St Ne Ste 103, Orange City, IA 51041-1456 | 2009-10-19 |
| 1265669493 | Loren Howard Fish II | Social Worker | 1642 N Volusia Ave, Suite 203, Orange City, FL 32763-3842 | 2009-06-15 |
| 1083878995 | Elisa Diane Barnett | Social Worker | 300 Treemont Dr, Orange City, FL 32763-7977 | 2008-07-10 |
| 1043307036 | George Edward Williams | Social Worker | 231 E Fern Dr, Orange City, FL 32763-7503 | 2006-10-09 |
| 1336116599 | Martha F Hibma | Social Worker | 123 Albany Ave Se, Orange City, IA 51041-1715 | 2006-03-07 |
| 1588208565 | Lisa J. Smith | Social Worker | 1217 Highway 10 W, Orange City, IA 51041-1500 | 2019-11-01 |
| 1710453998 | Kelly Jo Bowles Pllc | Social Worker | 205 N Industrial Dr Ste 1, Orange City, FL 32763-7438 | 2018-10-16 |
| Find all providers in ORANGE CITY | ||||
| City | ORANGE CITY |
| Zip Code | 51041 |
Please comment or provide details below to improve the information on MANDI DOLIESLAGER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.