Jerry L Webber, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2368 Issued in SD

Practice address

904 W 23Rd St Suite; 101
Heartland Pwychological Services
Yankton, SD 57078-1206

Phone

(605) 665-0841

Fax

(605) 665-0096

NPI assigned

Oct 21, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Jerry Williams Other name

Medicare fee-for-service enrollment

Enrolled in SD

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

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Bridges to Hope Counseling Services

  • Clinical Social Worker
  • Yankton, SD
  • NPI 1457707507

  Clinical, SD

  Medicare reassignment NPD Authorized official
• Heartland Psychological Services

  • Mental Health Counselor
  • Yankton, SD
  • NPI 1568708683
  NPD (past)
• Heartland Psychological Services

  • Psychiatry Physician
  • Yankton, SD
  • NPI 1679574578
  NPD (past)

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1104078260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 W 23RD ST SUITE; 101",
            "address_2": "HEARTLAND PWYCHOLOGICAL SERVICES",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570781206",
            "telephone_number": "605-665-0841",
            "fax_number": "605-665-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 W 23RD ST SUITE; 101",
            "address_2": "HEARTLAND PWYCHOLOGICAL SERVICES",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570781206",
            "telephone_number": "605-665-0841",
            "fax_number": "605-665-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBBER",
        "first_name": "JERRY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "2368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERRY",
            "last_name": "WILLIAMS",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Walgreen Co
• Walmart Inc.
• Karla Walsh, CNP
• Tom Walsh, LPC, QMHP
• Jon Waltjer, CRNA
• Scott A Weber, DO
• Gayle Lou Webert, R.N.
• Elizabeth Welbes
• Kora Welker
• Roger William Weyand, DDS

• All providers in Yankton, SD
• Clinical Social Worker in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.