Individual provider Active NPI

Erin Balvanz, LISW

  • Clinical Social Worker
  • Cedar Rapids, IA
National Provider Identifier
1093488207
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
077960 Issued in IA
Practice address
1030 5TH Ave SE Ste 3000
Cedar Rapids, IA 52403-2416
Phone
(319) 286-4545
NPI assigned
Jul 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 077960 IA Primary

Addresses

Primary practice location

1030 5TH Ave SE Ste 3000
Cedar Rapids, IA 52403-2416

Mailing address

1030 5TH Ave SE Ste 3000
Cedar Rapids, IA 52403-2416
Phone (319) 286-4545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

320 W Cherry St
North Liberty, IA 52317-8819

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
077960IAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1093488207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 5TH AVE SE STE 3000",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032416",
            "telephone_number": "319-286-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 5TH AVE SE STE 3000",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032416",
            "telephone_number": "319-286-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALVANZ",
        "first_name": "ERIN",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "077960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.