SRB Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SRB COUNSELING, LLC

Practice address

799 Main St Ste 350
Dubuque, IA 52001-6825

Phone

(563) 557-6870

Fax

(563) 557-6870

NPI assigned

Dec 10, 2019

Organization subpart

No

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

Authorized official

Name

Stacey Richard-Baal, LISC, LCSW

Title

Owner, Therapist

Phone

(563) 557-6870

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1265070197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 INDIANA CT",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520015482",
            "telephone_number": "563-581-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 MAIN ST STE 350",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016825",
            "telephone_number": "563-557-6870",
            "fax_number": "563-557-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRB COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "RICHARD-BAAL",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "563-557-6870",
        "authorized_official_credential": "LISC, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven John Sprengelmeyer, MA PSYCH MSW
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• Clinical Social Worker in Dubuque, IA
• Providers in Dubuque, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.