Individual provider Active NPI

Kimberly J Zantingh, MSW, LMSW, LISW

  • Clinical Social Worker
  • Newton, IA
National Provider Identifier
1275827057
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007297 Issued in IA
Practice address
303 S 2ND Ave W
Newton, IA 50208-3712
Phone
(641) 780-8435
Fax
(641) 787-0063
NPI assigned
Jun 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 7297 IA
Clinical Social Worker 1041C0700X 007297 IA Primary

Addresses

Primary practice location

303 S 2ND Ave W
Newton, IA 50208-3712

Mailing address

308 W 16TH St N
Newton, IA 50208-2953
Phone (641) 275-7533

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
I20150218001449 IA Practitioner - Clinical Social Worker 1850616665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

303 S 2ND Ave W
Newton, IA 50208-3712
Phone (641) 275-1119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7297IAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Goshorn Psych-Services PLLC PastSince Jan 13, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364342400000",
    "number": "1275827057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 W 16TH ST N",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "502082953",
            "telephone_number": "641-275-7533",
            "fax_number": "641-787-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S 2ND AVE W",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "502083712",
            "telephone_number": "641-780-8435",
            "fax_number": "641-787-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANTINGH",
        "first_name": "KIMBERLY",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "MSW, LMSW, LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-08",
        "last_updated": "2013-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "7297",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "007297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, IA

Sources for this page

Verify at the official NPI Registry.