Individual provider Active NPI

Michelle Jones

  • Social Worker
  • Sioux City, IA
National Provider Identifier
1093146599
Registry record updated Dec 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
007387 Issued in IA
Practice address
421 Nebraska St
Sioux City, IA 51101-1311
Phone
(712) 224-2774
Fax
(712) 224-2775
NPI assigned
Dec 9, 2013
Last updated
Dec 9, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 007387 IA Primary

Addresses

Primary practice location

421 Nebraska St
Sioux City, IA 51101-1311

Mailing address

421 Nebraska St
Sioux City, IA 51101-1311
Phone (712) 224-2774

Other names 1

  • Michelle R Flood Former name

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
I20150811004795 IA Practitioner - Clinical Social Worker 4183939770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Solutions Services, Inc.Group PAC ID 1951479591, 4 clinicians

Practice addresses (Care Compare)

505 5TH St
Suite 510
Sioux City, IA 51101-1506
Phone (712) 258-4553

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Solutions Services, Inc. CurrentSince Jul 17, 2015 Accepting new patients
Family Solutions Services 1, Inc. Past Accepting new patients
Counseling and Support Services Inc Social Worker PastSince Jun 1, 2011 Accepting new patients

Locations

19 2nd Ave NW
Le Mars, IA 51031
Phone (712) 229-2721

1217 Highway 10 W
Orange City, IA 51041
Phone (712) 707-9222

505 5th St
Ste 510
Sioux City, IA 51101
Phone (712) 258-4553

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386547200000",
    "number": "1093146599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 NEBRASKA ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011311",
            "telephone_number": "712-224-2774",
            "fax_number": "712-224-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 NEBRASKA ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011311",
            "telephone_number": "712-224-2774",
            "fax_number": "712-224-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-09",
        "last_updated": "2013-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "007387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "FLOOD",
            "middle_name": "R",
            "credential": "L.IS.W.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.