ANDREA NICOLE NIEBUHR WILSON (NPI# 1508396391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508396391 |
| Entity Type | Individual |
| Full Name | ANDREA NICOLE NIEBUHR WILSON |
| Credential | LMSW |
| Practice Address |
3812 Ingersoll Ave Des Moines IA 50312-3400 |
| Mailing Address |
305 22nd Ave Sw Altoona IA 50009-1513 |
| Practice Telephone | 5152552500 |
| Practice Fax Number | 5152557989 |
| Mailing Telephone | 3193609622 |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2018-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 086286 | IA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659847150 | Andrea Margaret Wilson | Registered Nurse | 8221 Royal Scarlet Dr, Baldwinsville, NY 13027-8942 | 2018-10-23 |
| 1912494923 | Andrea Sherrell Wilson | Non-emergency Medical Transport (VAN) | 5339 Arbor Pl, Williamsburg, VA 23188-2469 | 2018-04-16 |
| 1326590944 | Andrea Wilson | In Home Supportive Care | 298 Martin Luther King Jr Dr, Jersey City, NJ 07305-3515 | 2016-10-31 |
| 1447603493 | Andrea Wilson | Counselor | 4115 W Adams St, Chicago, IL 60624-2702 | 2016-07-14 |
| 1194196618 | Andrea Wilson | Health Educator | 100 North Washington St., Station 14, Livingston, AL 35470 | 2015-10-09 |
| 1396169306 | Andrea Wilson | Nurse's Aide | 18519 Egret Bay Blvd Apt 1610, Houston, TX 77058-3280 | 2014-02-11 |
| 1891047833 | Andrea Wilson | Behavioral Analyst | 3990 Sheridan St Ste 209, Hollywood, FL 33021-3656 | 2012-10-14 |
| 1609172253 | Andrea Michelle Wilson | Doula | 2915 N Texas St, 150, Fairfield, CA 94533-1291 | 2011-01-30 |
| 1871812586 | Andrea M Wilson | Licensed Practical Nurse | 772 Smiley Ave, Cincinnati, OH 45240-1948 | 2010-05-19 |
| 1265596530 | Andrea Gibbs Wilson | Counselor | 5950 N Oak Trfy Ste 104, Gladstone, MO 64118-5164 | 2006-12-21 |
| Street Address |
3812 INGERSOLL AVE |
| City | DES MOINES |
| State | IA |
| Zip Code | 50312-3400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316939341 | Rodney Leroy Lahodny | Physical Therapist | 3812 Ingersoll Ave, Suite 100, Des Moines, IA 50312-3400 | 2005-08-16 |
| 1073006383 | Mary Mcmahon | Social Worker | 3812 Ingersoll Ave, Des Moines, IA 50312-3400 | 2018-06-11 |
| 1710488507 | Anna Hendrickson | Counselor | 3812 Ingersoll Ave, Des Moines, IA 50312-3400 | 2018-02-27 |
| 1740798420 | Jodyie Katherine Lanser | Counselor | 3812 Ingersoll Ave, Des Moines, IA 50312-3400 | 2018-01-17 |
| 1568911386 | Janet Gideon | Social Worker | 3812 Ingersoll Ave, Suite 100, Des Moines, IA 50312-3400 | 2016-09-22 |
| 1912450768 | Lanee Towns | Counselor | 3812 Ingersoll Ave, Suite 204, Des Moines, IA 50312-3400 | 2016-07-28 |
| 1275900847 | Angie Riepe | Social Worker | 3812 Ingersoll Ave, Des Moines, IA 50312-3400 | 2015-08-30 |
| 1417330887 | Bryon Little | Social Worker | 3812 Ingersoll Ave, Des Moines, IA 50312-3400 | 2015-07-03 |
| 1457757304 | Talana Jo Holman | Counselor | 3812 Ingersoll Ave, Des Moines, IA 50312-3400 | 2014-11-04 |
| 1811391535 | Katy Beary | Social Worker | 3812 Ingersoll Ave, Des Moines, IA 50312-3400 | 2014-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942837976 | Devon Anderson | Student in an Organized Health Care Education/Training Program | Des Moines University Pa Program, 3200 Grand, Des Moines, IA 50312 | 2020-03-27 |
| 1578190583 | Christian Ostrander | Student in an Organized Health Care Education/Training Program | Des Moines University-pa Program 3200 Grand Avenue, Des Moines, IA 50312 | 2020-03-27 |
| 1194209312 | Margaret Dedecker | Speech-Language Pathologist | 644 24th St., Des Moines, IA 50312 | 2018-09-24 |
| 1942702410 | Nelson-kirby Therapy & Consulting Services, LLC | Marriage & Family Therapist | 3900 Ingersoll Avenue Suite 108, Des Moines, IA 50312 | 2018-03-01 |
| 1851839864 | Lawrence Scanlon | Counselor | 412 42nd St, Des Moines, IA 50312 | 2017-02-09 |
| 1104275122 | Melissa Joshel | Social Worker | 2116 Grand Ave Ste 2, Des Moines, IA 50312 | 2016-06-09 |
| 1629435813 | Abby Michele Miller | Acupuncturist | 531 40th Street, Des Moines, IA 50312 | 2016-01-20 |
| 1326410689 | Dawn Theresa Corriere | Advanced Practice Midwife | 3714 Ingersoll Ave, Des Moines, IA 50312 | 2015-10-27 |
| 1336558154 | Paul Johnston | Counselor | 600 42nd Street, Des Moines, IA 50312 | 2014-08-06 |
| 1083847214 | Mark David Ravreby | Internal Medicine | 3663 Grand Ave, #204, Des Moines, IA 50312 | 2009-09-04 |
| Find all providers in zip 50312 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881236107 | Iowa Super Clean LLC | Social Worker | 817 E Miller Ave, Des Moines, IA 50315-2954 | 2019-10-09 |
| 1538710421 | Macy Mckendree | Social Worker | 918 Se 11th St., Des Moines, IA 50309 | 2019-09-23 |
| 1386204030 | Elizabeth Darlene Gerdes | Social Worker | 1212 E Mckinley Ave, Des Moines, IA 50315-4362 | 2019-06-15 |
| 1194226670 | Amber Lee Wilson | Social Worker | 4685 Merle Hay Rd, Ste 108, Des Moines, IA 50322-1982 | 2018-02-21 |
| 1831608249 | Scott Alan Wright | Social Worker | 1223 Center St Ste 17, Des Moines, IA 50309-1016 | 2017-09-28 |
| 1376060053 | Mikki Hamdorf | Social Worker | 431 28th St Ste 205, Des Moines, IA 50312-4400 | 2017-08-24 |
| 1760910723 | Kelsey Taylor | Social Worker | 1761 Hickman Rd, Des Moines, IA 50314 | 2017-06-02 |
| 1184176489 | Lynley Anne Wolfe | Social Worker | 3519 50th St, Des Moines, IA 50310-2649 | 2016-11-03 |
| 1104275122 | Melissa Joshel | Social Worker | 2116 Grand Ave Ste 2, Des Moines, IA 50312 | 2016-06-09 |
| 1659760825 | Lisa Marie Heldenbrand | Social Worker | 2600 Grand Ave Ste 130, Des Moines, IA 50312-5300 | 2015-01-12 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50312 |
Please comment or provide details below to improve the information on ANDREA NICOLE NIEBUHR WILSON.
| 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.