Individual provider Active NPI

Katharine Janis Garoutte, LISW

  • Clinical Social Worker
  • Davenport, IA
National Provider Identifier
1265079677
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
008001 Issued in IA
Practice address
1225 E River Dr Ste 330
Davenport, IA 52803-5761
Phone
(563) 424-0136
NPI assigned
Dec 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 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 008001 IA Primary

Addresses

Primary practice location

1225 E River Dr Ste 330
Davenport, IA 52803-5761

Mailing address

1225 E River Dr Ste 330
Davenport, IA 52803-5761
Phone (319) 310-4772

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
I20220316003978 IA Practitioner - Clinical Social Worker 1052706603 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Inside Out Counseling and Consulting LLC Clinical CurrentSince Feb 24, 2025 Accepting new patients

Locations

1225 E River Dr
Ste 330
Davenport, IA 52803
Phone (563) 424-0136

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1265079677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 E RIVER DR STE 330",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528035761",
            "telephone_number": "319-310-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 E RIVER DR STE 330",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528035761",
            "telephone_number": "563-424-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAROUTTE",
        "first_name": "KATHARINE",
        "middle_name": "JANIS",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-04",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "008001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.