Jenny C McIntire, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

072841 Issued in IA

Practice address

740 N 15TH Ave
Ste a
Hiawatha, IA 52233-2384

Phone

(319) 398-3562

NPI assigned

Aug 26, 2015

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1013384932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7234 HAMPSHIRE DR NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524026904",
            "telephone_number": "319-361-5462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 N 15TH AVE",
            "address_2": "STE A",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522332384",
            "telephone_number": "319-398-3562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 Depot Ln SE Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "524012547",
            "country_code": "US",
            "telephone_number": "319-382-9081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCINTIRE",
        "first_name": "JENNY",
        "middle_name": "C",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-26",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "072841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0074575",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ginger Rose Massey, MD
• Stephen C Maze, MD
• Jaylen McBride
• Laura McDonald, CCC-SLP
• Rosemary McGeough, MS, CFY, SLP
• Ann C McKinstry, MD
• Katherine Anne McLaud, RBT
• Gregory Alan McSweeny, DC
• Bryton Melenas, DPT
• Michael Angelo Mendoza, LMFT

• Clinical Social Worker in Hiawatha, IA
• Providers in Hiawatha, 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 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.