Independent Case Management

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

INDEPENDENT CASE MANAGEMENT

Doing business as

Southeast Iowa Case Management

Practice address

101 N 16TH St
Fairfield, IA 52556-4313

Phone

(641) 472-3523

Fax

(641) 472-0656

NPI assigned

Jan 4, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Judy Ann Alexander, LBSW

Title

Ceo

Phone

(641) 472-3523

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Southeast Iowa Case Management Doing business as

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235286345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N 16TH ST",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525564313",
            "telephone_number": "641-472-3523",
            "fax_number": "641-472-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N 16TH ST",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525564313",
            "telephone_number": "641-472-3523",
            "fax_number": "641-472-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT CASE MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "641-472-3523",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LBSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0741827",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0064519",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0166538",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeast Iowa Case Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Case Management Agency in Fairfield, IA
• Providers in Fairfield, IA by specialty
• Case Management Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.