Individual provider Active NPI

Janet Abendroth, LISW

  • Clinical Social Worker
  • Johnston, IA
National Provider Identifier
1235229295
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06220 Issued in IA
Practice address
6165 NW 86TH St # 2332
Johnston, IA 50131-2270
Phone
(515) 669-2522
Fax
(515) 727-1601
NPI assigned
Oct 13, 2006
Last updated
Jul 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 06220 IA Primary

Addresses

Primary practice location

6165 NW 86TH St # 2332
Johnston, IA 50131-2270

Mailing address

6165 NW 86TH St # 2332
Johnston, IA 50131-2270
Phone (515) 669-2522

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
I20160831002561 IA Practitioner - Clinical Social Worker 0446546337 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5597 Meredith Dr
Unit B
Des Moines, IA 50310-2361
Phone (515) 669-2522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06220IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jan Abendroth Counseling LLC Clinical CurrentSince Jun 14, 2023 Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Feb 14, 2021 Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

700 E University Ave
Des Moines, IA 50316
Phone (515) 263-5120

6165 NW 86th St
Johnston, IA 50131
Phone (515) 252-2522

8101 Birchwood Ct
Unit R
Urbandale, IA 50131
Phone (515) 471-9363

6000 University Ave
Ste 200
West Des Moines, IA 50266
Phone (515) 241-2300

6000 University Ave
Ste A20
West Des Moines, IA 50266
Phone (515) 241-2330

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1235229295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6165 NW 86TH ST # 2332",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312270",
            "telephone_number": "515-669-2522",
            "fax_number": "515-727-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6165 NW 86TH ST # 2332",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312270",
            "telephone_number": "515-669-2522",
            "fax_number": "515-727-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABENDROTH",
        "first_name": "JANET",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "06220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, IA

Sources for this page

Verify at the official NPI Registry.