Individual provider Active NPI

Stephanie Joy Adams, LISW

  • Clinical Social Worker
  • Sioux Center, IA
National Provider Identifier
1053686147
Registry record updated Sep 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
085016 Issued in IA
Practice address
418 2ND Ave NE
Sioux Center, IA 51250-1706
Phone
(712) 600-4717
NPI assigned
Mar 21, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 085016 IA Primary

Addresses

Primary practice location

418 2ND Ave NE
Sioux Center, IA 51250-1706

Mailing address

418 2ND Ave NE
Sioux Center, IA 51250-1706
Phone (712) 600-4717

Other practice location 1

400 Central Ave NW Ste 300
Orange City, IA 51041-1332
Phone (712) 737-2635

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
I20170707001841 IA Practitioner - Clinical Social Worker 4385864529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Hawaii John a. Burns School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

418 2ND Ave NE
Sioux Center, IA 51250-1706
Phone (712) 600-4717

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Counseling LLC Clinical CurrentSince Aug 3, 2020 Accepting new patients

Locations

540 N Main Ave
Sioux Center, IA 51250
Phone (712) 600-4717

Organizations & group practices 1

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": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601164800000",
    "number": "1053686147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 2ND AVE NE",
            "city": "SIOUX CENTER",
            "state": "IA",
            "postal_code": "512501706",
            "telephone_number": "712-600-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 2ND AVE NE",
            "city": "SIOUX CENTER",
            "state": "IA",
            "postal_code": "512501706",
            "telephone_number": "712-600-4717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Central Ave NW Ste 300",
            "address_purpose": "LOCATION",
            "city": "Orange City",
            "state": "IA",
            "postal_code": "510411332",
            "country_code": "US",
            "telephone_number": "712-737-2635",
            "fax_number": "712-737-2344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "STEPHANIE",
        "middle_name": "JOY",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-21",
        "last_updated": "2020-09-27",
        "certification_date": "2020-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "085016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Center, IA

Sources for this page

Verify at the official NPI Registry.