Jennifer Marie Kalisz, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

2501 S Center St
Marshalltown, IA 50158-4562

Phone

(641) 753-1289

NPI assigned

May 20, 2020

Last updated

May 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA, ME2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Encounter Telehealth IncGroup PAC ID 9931348307, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Golden Age Care Center Nursing home, Centerville, IA, CCN 165257

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Encounter Telehealth, Inc

  • Multi-Specialty Clinic/Center
  • Omaha, NE
  • NPI 1922342195

  IA, ME

  Medicare reassignment Care Compare group NPD
• Carter's Counseling Services, PLC

  • Clinical Social Worker
  • Bettendorf, IA
  • NPI 1013446145
  NPD
• Grace C Mae Advocate Center

  • Mental Health Counselor
  • Marshalltown, IA
  • NPI 1568827954
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Golden Age Properties LLC

  dba Golden Age Care Center

  • Skilled Nursing Facility
  • Centerville, IA
  • NPI 1457752297

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1194348532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 36TH ST SW",
            "city": "BONDURANT",
            "state": "IA",
            "postal_code": "500356828",
            "telephone_number": "319-929-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 S CENTER ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501584562",
            "telephone_number": "641-753-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALISZ",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-20",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0108560",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann L Jones, PA-C
• Brach Rene Jones, ARNP
• Joan Jorpeland
• Daniel Judge
• Karissa J Junior, ARNP
• Addyson Kane
• Paul Kang, DDS
• Daun Rae Keefe, LISW
• Karolyn Kellen
• Ryan Keller, MFT

• Clinical Social Worker in Marshalltown, IA
• Providers in Marshalltown, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.