Individual provider Active NPI

Jana Patrice Schneckloth, LMSW

  • Clinical Social Worker
  • Urbandale, IA
National Provider Identifier
1154057909
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06246 Issued in IA
Practice address
10542 Justin Dr
Urbandale, IA 50322-3730
Phone
(515) 344-4148
NPI assigned
Jul 25, 2022
Last updated
Jul 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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 06246 IA Primary

Addresses

Primary practice location

10542 Justin Dr
Urbandale, IA 50322-3730

Mailing address

740 SE Parker Dr
Waukee, IA 50263-8344
Phone (515) 306-1030

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://bloomwomenswellness.org/ Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 5, 2025 through May 5, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
06246IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Althea Counseling & Wellness, P.C. Clinical CurrentSince Nov 24, 2025 Accepting new patients
Bloom Women's Wellness, LLC CurrentSince Jul 31, 2022 Accepting new patients

Locations

10542 Justin Dr
Urbandale, IA 50322
Phone (515) 344-4148

10574 Justin Dr
Urbandale, IA 50322
Phone (515) 499-4959

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, 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": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1154057909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 SE PARKER DR",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502638344",
            "telephone_number": "515-306-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10542 JUSTIN DR",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503223730",
            "telephone_number": "515-344-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNECKLOTH",
        "first_name": "JANA",
        "middle_name": "PATRICE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "06246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://bloomwomenswellness.org/",
            "affiliation": "N",
            "endpointDescription": "Agency Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10542 Justin Dr",
            "city": "Urbandale",
            "state": "IA",
            "country_code": "US",
            "postal_code": "503223730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Urbandale, IA

Sources for this page

Verify at the official NPI Registry.