Jennifer Lea Shaw, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

06198 Issued in IA

Practice address

215 E 4TH St
Waterloo, IA 50703-4701

Phone

(319) 236-7290

Fax

(319) 235-4875

NPI assigned

Jan 4, 2011

Last updated

Jan 4, 2011By 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

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, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cedar Circle Mental Health and Wellness PCGroup PAC ID 0749618981, 6 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.

• Cedar Circle Mental Health and Wellness PC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cedar Falls, IA
  • NPI 1811534910
  Medicare reassignment Care Compare group NPD
• Heal the Family, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waterloo, IA
  • NPI 1598065781
  NPD (past)

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294099200000",
    "number": "1215231303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 WESTVIEW AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507013719",
            "telephone_number": "319-610-1612",
            "fax_number": "319-235-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E 4TH ST",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507034701",
            "telephone_number": "319-236-7290",
            "fax_number": "319-235-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "JENNIFER",
        "middle_name": "LEA",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "06198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nura Sharma
• Prakash Punj Sharma, M.D.
• Morgan Marie Sharp, FNP
• Shaulis Ia Skilled Nursing Facility, LLC
• Shaulis Ia Skilled Nursing Facility, LLC
• Tera Sheetz
• Sage Shemak
• Andrew Tim Shen, M.D.
• Julie Anna Shepard, LPN
• Paul David Shepard, PA-C

• Clinical Social Worker in Waterloo, IA
• Providers in Waterloo, 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 Jan 4, 2011; 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.