GRAPEVINE CLINICAL LLC
NPI 1952837809
Social Worker - Clinical in West Des Moines, IA

Q: What is Grapevine Clinical LLC's NPI number?

The NPI number for Grapevine Clinical LLC is 1952837809. It was assigned to this organization in the NPPES registry on May 11, 2017.

Q: What is Grapevine Clinical LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since May 11, 2017

4949 PLEASANT ST STE 104, WEST DES MOINES, IA 50266(515) 369-0034(844) 381-0919 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 6, 2026, Jul 26, 2022, May 11, 2017 (3 updates tracked since 2017).

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About Grapevine Clinical Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRAPEVINE CLINICAL LLC (NPI 1952837809) is a healthcare organization registered as a clinical in West Des Moines, Iowa and active in the NPI registry since May 2017. The organization maintains a secondary practice location in Des Moines and lists Wendy Tillgren, Partner, as its authorized official.

NPPES Registry Identity

NPI1952837809

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameGRAPEVINE CLINICAL LLC

Location Address4949 PLEASANT ST STE 104West Des Moines, IA 50266-5494

Mailing Address4949 Pleasant St Ste 104West Des Moines, IA 50266-5494 · (515) 369-0034 · Fax (844) 381-0919

Phone(515) 369-0034

Fax(844) 381-0919

Organization SubpartNo

Authorized OfficialWendy TillgrenPartner · (515) 369-0034

Enumeration DateMay 11, 2017

Last NPPES UpdateFebruary 13, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 13, 2026

✔ NPI 1952837809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in IA · 007572

Definition

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.

4949 PLEASANT ST STE 104, West Des Moines, IA 50266

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Secondary Practice Location 1

Location 1666 Walnut St Ste 1610Des Moines, IA 50309-3974 · Phone (515) 360-0034 · Fax (844) 381-0919

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grapevine Clinical Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Grapevine Clinical LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Wendy Tillgren, LISW, LCSW

Clinical Social Worker

NPI 1245533348

4949 PLEASANT ST STE 104
West Des Moines, IA 50266

(515) 369-0034

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grapevine Clinical LLC's NPI number?

The NPI number for Grapevine Clinical LLC is 1952837809. It was assigned to this organization in the NPPES registry on May 11, 2017.

Where is Grapevine Clinical LLC located?

Grapevine Clinical LLC is located at 4949 Pleasant St Ste 104, West Des Moines, IA 50266. The listed phone number is (515) 369-0034.

What is Grapevine Clinical LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Grapevine Clinical LLC enrolled in Medicare?

Yes. Grapevine Clinical LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Grapevine Clinical LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Grapevine Clinical LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Grapevine Clinical LLC was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.