Individual provider Active NPI

Jill Connors, LMSW

  • Social Worker
  • Iowa City, IA
National Provider Identifier
1013322379
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
072191 Issued in IA
Practice address
1519 S Gilbert St
Iowa City, IA 52240-4367
Phone
(319) 338-9212
NPI assigned
Jun 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2014

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 072191 IA Primary

Addresses

Primary practice location

1519 S Gilbert St
Iowa City, IA 52240-4367

Mailing address

1519 S Gilbert St
Iowa City, IA 52240-4367
Phone (319) 338-9212

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
I20180419000390 IA Practitioner - Clinical Social Worker 4385907641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Meadowlark Partners LLCGroup PAC ID 8921331836, 32 clinicians

Practice addresses (Care Compare)

320 W Cherry St
Meadowlark Psychiatric Services
North Liberty, IA 52317-8819
Phone (319) 626-3300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
072191IAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Systems Unlimited Inc. Past Accepting new patients

Organizations & group practices 2

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": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403654400000",
    "number": "1013322379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 S GILBERT ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522404367",
            "telephone_number": "319-338-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 S GILBERT ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522404367",
            "telephone_number": "319-338-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNORS",
        "first_name": "JILL",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-25",
        "last_updated": "2014-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "072191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.