Kiresten Theill, SOCIAL WORKER
NPI 1578143798ActiveIndividual· Social Worker· Dubuque, IA
Social Worker (SOCIAL WORKER) in Dubuque, Iowa, licensed in IA, with an NPI issued in April 2021. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1578143798 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | SOCIAL WORKER |
| Sole proprietor | No |
| NPI issued | Apr 12, 2021 |
| Last updated in NPPES | Aug 10, 2023 |
| Certified by provider | Aug 10, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | 101727 | IA |
| Social Worker | 104100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (IA) |
|---|
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Clinical Social Worker |
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