Denise Jennifer Headington, LISW
Individual provider Active NPI Clinical Social Worker · Waukon, IA
NPI 1043094261 · NPPES record last updated Aug 21, 2023
Key facts
- NPI
- 1043094261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 006996 (IA)
- Practice address
- 772 Iron Mine Dr NW
Waukon, IA 52172-7814 - Phone
- (563) 794-0892
- NPI assigned
- Aug 21, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006996 | IA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 006996 | IA | Yes |
Addresses
Primary practice location
772 Iron Mine Dr NW
Waukon, IA 52172-7814
Mailing address
772 Iron Mine Dr NW
Waukon, IA 52172-7814
Phone (563) 794-0892
Other providers in Waukon, IA
- Laurel Ann Hagensick
- Bobbi Sue Hansmeier
- Hartig Drug Co Corp
- Hartig Drug Co Corp
- Jonathan L Hawes
- Mindy Heinemeyer
- Shelley Lynnette Hesla
- Lyvia Hosch
- Houg Chiropractic PC
- Brenda K Houg
All providers in Waukon, IA · Clinical Social Worker in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.