Individual provider Active NPI

Lydia Rothfusz, LMSW

  • Social Worker
  • Clarinda, IA
National Provider Identifier
1003341140
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
007421 Issued in IA
Practice address
215 E Washington St
Clarinda, IA 51632-1625
Phone
(712) 542-3501
NPI assigned
Apr 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 007421 IA Primary

Addresses

Primary practice location

215 E Washington St
Clarinda, IA 51632-1625

Mailing address

215 E Washington St
Clarinda, IA 51632-1625
Phone (712) 542-3501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200114001459 IA Practitioner - Clinical Social Worker 2264867621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Iowa Families IncGroup PAC ID 7315840428, 7 clinicians

Practice addresses (Care Compare)

920 W Garfield St
Clarinda, IA 51632-2009
Phone (712) 542-3501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007421IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Iowa Families Inc CurrentSince Dec 23, 2019 Accepting new patients

Locations

215 E Washington St
Clarinda, IA 51632
Phone (712) 524-3501

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493164800000",
    "number": "1003341140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E WASHINGTON ST",
            "city": "CLARINDA",
            "state": "IA",
            "postal_code": "516321625",
            "telephone_number": "712-542-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E WASHINGTON ST",
            "city": "CLARINDA",
            "state": "IA",
            "postal_code": "516321625",
            "telephone_number": "712-542-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHFUSZ",
        "first_name": "LYDIA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-26",
        "last_updated": "2017-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "007421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarinda, IA

Sources for this page

Verify at the official NPI Registry.