Jana Patrice Schneckloth, LMSW
Individual provider Active NPI Clinical Social Worker · Urbandale, IA
NPI 1154057909 · NPPES record last updated Jul 25, 2022
Key facts
- NPI
- 1154057909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 06246 (IA)
- Practice address
- 10542 Justin Dr
Urbandale, IA 50322-3730 - Phone
- (515) 344-4148
- NPI assigned
- Jul 25, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- 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
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06246 | IA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Althea Counseling & Wellness, P.C. | Clinical | Current |
Accepting new patients |
| Bloom Women'S Wellness, LLC | Current |
Accepting new patients |
Locations
10542 Justin Dr
Urbandale, IA 50322
Phone (515) 344-4148
10574 Justin Dr
Urbandale, IA 50322
Phone (515) 499-4959
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 06246 | IA | Yes |
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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://bloomwomenswellness.org/ | Direct |
Other providers in Urbandale, IA
- Andrea Schaffer
- Ainslea Bruner Schmidt
- Shannon Schmidt
- Thomas William Schmidt
- Gregory Alan Schmunk
- Emily Rose Schnoor
- Katie Ann Schnoor
- Megan Janice Schreck
- Carolyn Renee Schulte
- Jon Schultz
All providers in Urbandale, IA · Clinical Social Worker in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.