Active NPI
Monica Sexton Peitz, LISW
- Clinical Social Worker
- Perry, IA
National Provider Identifier
1164089389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 00897
- Practice address
- 610 10TH St
Perry, IA 50220-2221 - Phone
- (515) 465-7541
- NPI assigned
- May 22, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 00897 | IA | Primary |
Addresses
Primary practice location
610 10TH St
Perry, IA 50220-2221
Mailing address
1908 North St
Perry, IA 50220-2503
Phone (515) 465-9882
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00897 | IA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558483200000",
"number": "1164089389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1908 NORTH ST",
"city": "PERRY",
"state": "IA",
"postal_code": "502202503",
"telephone_number": "515-465-9882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 10TH ST",
"city": "PERRY",
"state": "IA",
"postal_code": "502202221",
"telephone_number": "515-465-7541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEITZ",
"first_name": "MONICA",
"middle_name": "SEXTON",
"credential": "LISW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-22",
"last_updated": "2019-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "00897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Perry, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.