Vanessa Jorgensen, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

086344 Issued in IA

Practice address

910 10TH St
Milford, IA 51351-1530

Phone

(712) 338-6200

Fax

(712) 338-6205

NPI assigned

Jun 8, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elevate Therapy and Assessment, PLLC 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Elevate Therapy & Assessment, PLLC

  • Clinical Psychologist
  • Milford, IA
  • NPI 1568092195

  Clinical, IA

  Medicare reassignment Care Compare group NPD
• Champion State of Mind PLLC

  • Mental Health Counselor
  • Estherville, IA
  • NPI 1033578331
  NPD (past)

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1295302248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 132",
            "city": "MILFORD",
            "state": "IA",
            "postal_code": "513510132",
            "telephone_number": "712-338-6200",
            "fax_number": "712-338-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 10TH ST",
            "city": "MILFORD",
            "state": "IA",
            "postal_code": "513511530",
            "telephone_number": "712-338-6200",
            "fax_number": "712-338-6205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGENSEN",
        "first_name": "VANESSA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "086344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vjorgensen@elevatetherapy.org",
            "affiliation": "N",
            "address_1": "910 10th St",
            "city": "Milford",
            "state": "IA",
            "country_code": "US",
            "postal_code": "513511530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hometown Physical Therapy Holding Company LLC
• Hy-Vee Inc
• Imperfectly Enough Psychiatry PLLC
• Ingwersen Family Chiropractic, LLC
• Laura Ann Ingwersen, D.C.
• Karen Lynette Koenck, RN
• Anthony Michael Kollasch, DPT
• Lakes Regional Healthcare
• Brittany Renee Laubenthal, LMSW
• Susan Caroline Laue, LMHC

• All providers in Milford, IA
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.