Active NPI
Jane Katherine Busch, LISW, IAADC
- Clinical Social Worker
- Oskaloosa, IA
National Provider Identifier
1053551754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 03905
- Practice address
- 108 1St Ave E
Oskaloosa, IA 52577-3127 - Phone
- (641) 676-3720
- NPI assigned
- Feb 20, 2009
- Last updated
- Jan 9, 2020
- 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 | 03905 | IA | Primary |
Addresses
Primary practice location
108 1St Ave E
Oskaloosa, IA 52577-3127
Mailing address
108 1St Ave E
Oskaloosa, IA 52577-3127
Phone (641) 676-3720
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | jane@gatewaysconsulting.org |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03905 | IA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578528000000",
"number": "1053551754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 1ST AVE E",
"city": "OSKALOOSA",
"state": "IA",
"postal_code": "525773127",
"telephone_number": "641-676-3720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 1ST AVE E",
"city": "OSKALOOSA",
"state": "IA",
"postal_code": "525773127",
"telephone_number": "641-676-3720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSCH",
"first_name": "JANE",
"middle_name": "KATHERINE",
"name_prefix": "Mrs.",
"credential": "LISW, IAADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-20",
"last_updated": "2020-01-09",
"certification_date": "2020-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "03905",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "jane@gatewaysconsulting.org",
"affiliation": "N",
"endpointDescription": "email",
"address_1": "108 1st Ave E",
"city": "Oskaloosa",
"state": "IA",
"country_code": "US",
"postal_code": "525773127",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oskaloosa, IA
- Chelsea Deanne Brandt, PHARMD
- Timothy Allen Breon, M.D.
- Leah J Bruxvoort
- Bryce Allen Bucklew
- Cameron Burkard
- Heather Jo Cadwell, CRNA
- Sophia Ringsdorf Campbell, DDS
- Canfield River Healthcare LLC (Crystal Heights Care Center)
- Care Initiatives (Northern Mahaska Specialty Care)
- Central Vision Center of Iowa LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.