Organization Active NPI

Midwest Social Worker, LLC

  • Clinical Social Worker
  • Dubuque, IA
National Provider Identifier
1245954221
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MIDWEST SOCIAL WORKER, LLC
Practice address
2100 Asbury Rd Ste 3
Dubuque, IA 52001-3091
Phone
(563) 580-2494
NPI assigned
Oct 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Authorized official

Name
Amanda Cook, LISWNPI 1336508787
Title
Therapist, Owner
Phone
(563) 580-2494

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2100 Asbury Rd Ste 3
Dubuque, IA 52001-3091

Mailing address

2941 Shiras Ave
Dubuque, IA 52001-8356
Phone (563) 580-2494

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1245954221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2941 SHIRAS AVE",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520018356",
            "telephone_number": "563-580-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 ASBURY RD STE 3",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520013091",
            "telephone_number": "563-580-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST SOCIAL WORKER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "THERAPIST, OWNER",
        "authorized_official_telephone_number": "563-580-2494",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.