Individual provider Active NPI

Brenda Boese, LMSW

  • Clinical Social Worker
  • Iowa City, IA
National Provider Identifier
1316618226
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
091361 Issued in IA
Practice address
44 Sturgis Corner Dr Ste 9
Iowa City, IA 52246-5617
Phone
(319) 481-8828
NPI assigned
Sep 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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 091361 IA Primary

Addresses

Primary practice location

44 Sturgis Corner Dr Ste 9
Iowa City, IA 52246-5617

Mailing address

2708 Blazing Star Dr
Iowa City, IA 52240-6849
Phone (319) 541-6705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 3, 2025 through Jun 3, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
091361IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Anew Healing Center LLC CurrentSince Oct 8, 2023 Accepting new patients

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": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1316618226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 BLAZING STAR DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522406849",
            "telephone_number": "319-541-6705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 STURGIS CORNER DR STE 9",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522465617",
            "telephone_number": "319-481-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOESE",
        "first_name": "BRENDA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "091361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.