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GRAPEVINE CLINICAL LLC NPI 1952837809


NPI Information

NPI: 1952837809
Provider Name: GRAPEVINE CLINICAL LLC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
666 WALNUT ST STE 1610
DES MOINES, IA
ZIP 50309
Phone: (515) 360-0034
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GRAPEVINE CLINICAL LLC is a clinical social worker in Des Moines, IA. The provider is 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. GRAPEVINE CLINICAL LLC NPI is 1952837809. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

666 WALNUT ST STE 1610
DES MOINES, IA
ZIP 50309-974
Phone: (515) 360-0034
Fax: (844) 381-0919

The provider's authorized official is Wendy Tillgren .
The authorized official title is Owner and has the following contact phone number (515) 369-0034.

The enumeration date for this NPI number is 5/11/2017 and was last updated on 7/26/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinical05815IOWANo
21041C0700XSocial WorkerClinicalNo
31041C0700XSocial WorkerClinical007572IOWAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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