Individual provider Active NPI

Jennifer L Miller, LISW

  • Social Worker
  • Des Moines, IA
National Provider Identifier
1154455459
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
06120 Issued in IA
Practice address
7177 Hickman Rd Ste 3
Des Moines, IA 50322-4844
Phone
(515) 251-4900
Fax
(515) 251-7311
NPI assigned
Mar 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 06120 IA Primary

Addresses

Primary practice location

7177 Hickman Rd Ste 3
Des Moines, IA 50322-4844

Mailing address

409 Kenyon Rd Ste C
Fort Dodge, IA 50501-5718
Phone (515) 573-3138

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
I20040716000522 IA Practitioner - Clinical Social Worker 8325027972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lutheran Family ServiceGroup PAC ID 5193718237, 9 clinicians

Practice addresses (Care Compare)

2323 Willis Ave
Perry, IA 50220-2148
Phone (515) 251-4900

6200 Aurora Ave
Suite 410W
Urbandale, IA 50322-2869
Phone (515) 251-4900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06120IAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Family Service CurrentSince Jan 7, 2009 Accepting new patients

Locations

7177 Hickman Rd
Ste 3
Des Moines, IA 50322
Phone (515) 251-4900

409 Kenyon Rd
Ste C
Fort Dodge, IA 50501
Phone (515) 573-3138

2323 Willis Ave
Perry, IA 50220
Phone (515) 251-4900

6200 Aurora Ave
Ste 410W
Urbandale, IA 50322
Phone (515) 251-4900

Organizations & group practices 1

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": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1154455459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 KENYON RD STE C",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015718",
            "telephone_number": "515-573-3138",
            "fax_number": "515-573-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7177 HICKMAN RD STE 3",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503224844",
            "telephone_number": "515-251-4900",
            "fax_number": "515-251-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "06120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.