Individual provider Active NPI

Rachael Elizabeth Jorgensen, LISW

  • Clinical Social Worker
  • Cedar Falls, IA
National Provider Identifier
1275984668
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007850 Issued in IA
Practice address
604 Clay St
Cedar Falls, IA 50613-2971
Phone
(319) 415-6405
NPI assigned
Jun 27, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0007850 IA
Clinical Social Worker 1041C0700X 007850 IA Primary

Addresses

Primary practice location

604 Clay St
Cedar Falls, IA 50613-2971

Mailing address

604 Clay St
Cedar Falls, IA 50613-2971
Phone (319) 415-6405

Other identifiers 1

IdentifierTypeStateIssuer
0074435MedicaidIA

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
I20170824002540 IA Practitioner - Clinical Social Worker 0446522452 Reassigns benefits to 1 organization
Practice locations: Cedar Falls, IA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Olive Branch Counseling Services PLLCGroup PAC ID 7719329945, 4 clinicians

Practice addresses (Care Compare)

604 Clay St
Cedar Falls, IA 50613-2971
Phone (319) 486-1845

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0007850IAMDClinical Social Worker
007850IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rachael Jorgensen, PLLC Clinical CurrentSince Aug 1, 2017 Accepting new patients
Olive Branch Counseling Services PLLC Clinical CurrentSince Oct 18, 2022 Accepting new patients
Andrea Lansing, PLLC Clinical Past Accepting new patients
Black Hawk-Grundy Mental Health Center Inc. PastSince Jul 1, 1990 Accepting new patients
Robert Boezinger, PLLC Clinical PastSince May 5, 2024 Accepting new patients

Locations

604 Clay St
Cedar Falls, IA 50613
Phone (319) 536-5072

215 Franklin St
Cedar Falls, IA 50613
Phone (319) 214-5626

Organizations & group practices 5

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": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1275984668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 CLAY ST",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506132971",
            "telephone_number": "319-415-6405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 CLAY ST",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506132971",
            "telephone_number": "319-415-6405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGENSEN",
        "first_name": "RACHAEL",
        "middle_name": "ELIZABETH",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "0007850",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "007850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0074435",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Falls, IA

Sources for this page

Verify at the official NPI Registry.