Active NPI
Christin Witherspoon Squier, LISW
- Clinical Social Worker
- Mason City, IA
National Provider Identifier
1245487461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 06763
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 06763 | IA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Turning Leaf Counseling, Inc | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.