Individual provider Active NPI

Myra J Jones, MSW, LISW, IADC

  • Clinical Social Worker
  • Fort Dodge, IA
National Provider Identifier
1306246426
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007782 Issued in IA
Practice address
1277 N 9TH St
Fort Dodge, IA 50501-2545
Phone
(515) 573-0933
NPI assigned
Aug 26, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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 007782 IA Primary
Social Worker 104100000X 007782 IA

Addresses

Primary practice location

1277 N 9TH St
Fort Dodge, IA 50501-2545

Mailing address

1277 N 9TH St
Fort Dodge, IA 50501-2545
Phone (515) 573-0933

Other practice location 1

800 N 32nd St
Fort Dodge, IA 50501-8031
Phone (515) 573-0933

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
I20250305001668 IA Practitioner - Clinical Social Worker 6002336419

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007782IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Counseling and Therapy PLC Clinical CurrentSince Jan 9, 2025 Accepting new patients

Locations

1813 1st Ave S
Fort Dodge, IA 50501
Phone (515) 573-0933

Organizations & group practices 1

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": "1409011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1306246426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1277 N 9TH ST",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505012545",
            "telephone_number": "515-573-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1277 N 9TH ST",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505012545",
            "telephone_number": "515-573-0933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 N 32nd St",
            "address_purpose": "LOCATION",
            "city": "Fort Dodge",
            "state": "IA",
            "postal_code": "505018031",
            "country_code": "US",
            "telephone_number": "515-573-0933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "MYRA",
        "middle_name": "J",
        "credential": "MSW, LISW, IADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-26",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "007782",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "007782",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Dodge, IA

Sources for this page

Verify at the official NPI Registry.