Amy Jolene Davidson-Jacobs, LISW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

007171 Issued in IA

Practice address

840 W US Highway 18
Garner, IA 50438-1023

Phone

(641) 925-1500

Fax

(641) 925-1507

NPI assigned

May 10, 2010

Last updated

Aug 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amy Jolene Davidson Professional name

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

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Belmond Community HospitalGroup PAC ID 1052201852, 86 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Belmond Community Hospital

  dba Iowa Specialty Hospital- Belmond

  • Family Medicine Physician
  • Belmond, IA
  • NPI 1821122623
  Medicare reassignment Care Compare group NPD
• Iowa Specialty Hospital- Clarion

  • Critical Access Hospital
  • Clarion, IA
  • NPI 1396760153
  Medicare reassignment
• Iowa Specialty Hospital-Clarion

  • Critical Access Hospital
  • Clarion, IA
  • NPI 1225053085
  NPD
• Belmond Community Hospital

  dba Garner Clinic

  • Rural Health Clinic/Center
  • Garner, IA
  • NPI 1528538808
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1194043505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 1ST ST SE",
            "city": "BELMOND",
            "state": "IA",
            "postal_code": "504211201",
            "telephone_number": "641-444-3500",
            "fax_number": "641-444-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 W US HIGHWAY 18",
            "city": "GARNER",
            "state": "IA",
            "postal_code": "504381023",
            "telephone_number": "641-925-1500",
            "fax_number": "641-925-1507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "403 1st St SE",
            "address_purpose": "LOCATION",
            "city": "Belmond",
            "state": "IA",
            "postal_code": "504211201",
            "country_code": "US",
            "telephone_number": "641-444-3500",
            "fax_number": "641-444-5554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 13th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Clarion",
            "state": "IA",
            "postal_code": "505252078",
            "country_code": "US",
            "telephone_number": "515-532-2836",
            "fax_number": "515-532-2523",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 2nd St SE",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "IA",
            "postal_code": "504412658",
            "country_code": "US",
            "telephone_number": "641-812-1094",
            "fax_number": "641-812-1096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIDSON-JACOBS",
        "first_name": "AMY",
        "middle_name": "JOLENE",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-10",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "007171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "DAVIDSON",
            "middle_name": "JOLENE",
            "credential": "LMSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Abcm Corporation (Cardinal Grove)
• Connie J Arispe, MD
• Jolene Renee Bahling, ARNP
• Belmond Community Hospital (Garner Clinic)
• Peggy Sue Radmaker Boekelman, OT
• Blake Gregory Dean, PT, DPT
• Renee Diamond, M.D.
• DMW Behavioral Health Services, LLC
• Donald W. Furman, P.C. (Family Eye Care Center)
• DRS. Tesene, Maurer and Maurer,DDS, PC

• Social Worker in Garner, IA
• Providers in Garner, IA by specialty
• Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.