Active NPI
Jennifer Jane Judson-Harms, LISW
- Clinical Social Worker
- New Hampton, IA
National Provider Identifier
1043220023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 01508
- Practice address
- 23 E Main St
New Hampton, IA 50659-2115 - Phone
- (641) 330-0901
- Fax
- (641) 394-3759
- NPI assigned
- Aug 9, 2006
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 01508 | IA | Primary |
Addresses
Primary practice location
23 E Main St
New Hampton, IA 50659-2115
Mailing address
2175 290TH St
New Hampton, IA 50659-9012
Phone (641) 330-0901
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0476408 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Iowa Family Counseling | Current | Accepting new patients |
Locations
26 N Chestnut Ave
New Hampton, IA 50659
Phone (641) 229-5002
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- New Hampton, IA
- NPI 1518970458
-
- Community/Behavioral Health Agency
- New Hampton, IA
- NPI 1912295890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1043220023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2175 290TH ST",
"city": "NEW HAMPTON",
"state": "IA",
"postal_code": "506599012",
"telephone_number": "641-330-0901",
"fax_number": "641-394-3759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 E MAIN ST",
"city": "NEW HAMPTON",
"state": "IA",
"postal_code": "506592115",
"telephone_number": "641-330-0901",
"fax_number": "641-394-3759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUDSON-HARMS",
"first_name": "JENNIFER",
"middle_name": "JANE",
"credential": "LISW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "01508",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0476408",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Hampton, IA
- Jody Marie Harmsen, M.D.
- Heritage Residence of Community Care, Inc.
- Rebecca Hoehne
- Holthaus Family Chiropractic Center, LLC (Holthaus Family Chiropractic Center)
- Rachel Ann Holthaus, D.C.
- Jack Litton Kline, MD
- Natalie Jean Martinson, OT
- Lacey McGrath, ARNP
- April Ann McQuillen, DO
- Mercy Medical Center - New Hampton (Mercy Family Clinic - New Hampton)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.