Organization
GRAPEVINE CLINICAL LLC
Active
Organization
GRAPEVINE CLINICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY TILLGREN (PARTNER)
(515) 369-0034
Entity
Organization
Contact information
Practice address
4949 PLEASANT ST STE 104, WEST DES MOINES, IA 50266-5494
(515) 369-0034
(844) 381-0919
Mailing address
4949 PLEASANT ST STE 104, WEST DES MOINES, IA 50266-5494
(515) 369-0034
(844) 381-0919
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007572
IA
1041C0700X
Clinical Social Worker
05815
IA
Other
Enumeration date
05/11/2017
Last updated
02/13/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up