Individual provider Active NPI

Christin Witherspoon Squier, LISW

  • Clinical Social Worker
  • Mason City, IA
National Provider Identifier
1245487461
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06763 Issued in IA
Practice address
103 E State St Ste 301
Mason City, IA 50401-3309
Phone
(641) 421-2089
Fax
(641) 450-0030
NPI assigned
Aug 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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 06763 IA Primary

Addresses

Primary practice location

103 E State St Ste 301
Mason City, IA 50401-3309

Mailing address

50 N Eisenhower Ave
Mason City, IA 50401-7340
Phone (641) 421-8411

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
I20260323001051 IA Practitioner - Clinical Social Worker 7517441041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

103 E State St
Suite 301
Mason City, IA 50401-3309

84 Linden Dr
Mason City, IA 50401-2970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06763IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Turning Leaf Counseling, Inc CurrentSince Apr 28, 2024 Accepting new patients

Locations

103 E State St
Ste 301
Mason City, IA 50401
Phone (641) 201-1521

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1245487461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N EISENHOWER AVE",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504017340",
            "telephone_number": "641-421-8411",
            "fax_number": "641-421-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E STATE ST STE 301",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504013309",
            "telephone_number": "641-421-2089",
            "fax_number": "641-450-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUIER",
        "first_name": "CHRISTIN",
        "middle_name": "WITHERSPOON",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "06763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason City, IA

Sources for this page

Verify at the official NPI Registry.