Individual provider Active NPI

Danielle Lynne Stouder, LISW

  • Clinical Social Worker
  • Iowa City, IA
National Provider Identifier
1144459702
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06587 Issued in IA
Practice address
601 Highway 6 W
Iowa City, IA 52246-2209
Phone
(319) 338-0581
NPI assigned
Jul 3, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 06587 IA Primary
Social Worker 104100000X 06587 IA

Addresses

Primary practice location

601 Highway 6 W
Iowa City, IA 52246-2209

Mailing address

414 E Jefferson St
Washington, IA 52353-1823
Phone (319) 530-2271

Other practice location 1

1820 W Main St
Washington, IA 52353-2931
Phone (319) 531-7721

Other practice location 2

2175 Lexington Blvd
Suite #2
Washington, IA 52353-9108
Phone (319) 653-6161

Other practice location 3

414 E Jefferson St
Washington, IA 52353-1823
Phone (319) 530-2271

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
I20181110000244 IA Practitioner - Clinical Social Worker 3476807405

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grace C Mae Advocate Center PastSince Dec 5, 2021 Accepting new patients
Community and Family Resources PastSince Oct 21, 2024 Accepting new patients

Organizations & group practices 2

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": "1246579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1144459702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 E JEFFERSON ST",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "523531823",
            "telephone_number": "319-530-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 HIGHWAY 6 W",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522462209",
            "telephone_number": "319-338-0581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1820 W Main St",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "IA",
            "postal_code": "523532931",
            "country_code": "US",
            "telephone_number": "319-531-7721",
            "fax_number": "319-575-6124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2175 Lexington Blvd",
            "address_2": "Suite #2",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "IA",
            "postal_code": "523539108",
            "country_code": "US",
            "telephone_number": "319-653-6161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "414 E Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "IA",
            "postal_code": "523531823",
            "country_code": "US",
            "telephone_number": "319-530-2271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOUDER",
        "first_name": "DANIELLE",
        "middle_name": "LYNNE",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-03",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "06587",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "06587",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.