Sandra S Siemens, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

05802 Issued in IA

Practice address

2435 Kimberly Rd
Suite 155
Bettendorf, IA 52722-3509

Phone

(563) 359-7625

Fax

(563) 459-0494

NPI assigned

Sep 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Family Foundations of Iowa, Inc.

  • Clinical Social Worker
  • Bettendorf, IA
  • NPI 1003912569
  NPD (past) Authorized official

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013019165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 27TH ST",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527225107",
            "telephone_number": "563-344-7935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 KIMBERLY RD",
            "address_2": "SUITE 155",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223509",
            "telephone_number": "563-359-7625",
            "fax_number": "563-459-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEMENS",
        "first_name": "SANDRA",
        "middle_name": "S",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "05802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "43006",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melangel Sable Fawn Shellenbarger, TLMHC
• Amanda Kay Sherrod, NP-C
• Shipman Chiropractic & Wellness Clinic LLC
• Shoemaker Chiropractic P.C.
• Karen Shoemaker, D.C.
• Sierk Orthodontics, PC
• Alexander James Sierk, DDS,MS
• Donald L Sierk, DDS, MS, PC
• Silver Senior Health Care
• Mary Kathleen Skafidas, ARNP

• Clinical Social Worker in Bettendorf, IA
• Providers in Bettendorf, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.