NPIMap

Individual provider Active NPI

Glenna R Nockels, LMSW

  • Social Worker
  • Carroll, IA
National Provider Identifier
1326326802
Registry record updated Aug 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
007725 Issued in IA
Practice address
311 S Clark St
Carroll, IA 51401-3038
Phone
(712) 794-5435
Fax
(712) 792-5751
NPI assigned
Aug 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 007725 IA Primary

Addresses

Primary practice location

311 S Clark St
Carroll, IA 51401-3038

Mailing address

320 E Adams St
Lake City, IA 51449-1306
Phone (515) 290-3550

Other identifiers 1

IdentifierTypeStateIssuer
007725OtherIAIOWA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131018001831 IA Practitioner - Clinical Social Worker 9335374735 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stewart Memorial Community Hospital 36 clinicians

Practice addresses (Care Compare)

1301 W Main St
Lake City, IA 51449-1585
Phone (712) 464-3171

Merit-based Incentive Payment System (MIPS)

Final score
84.59 of 100Reported as group
Quality
90
Promoting interoperability
84
Improvement activities
40
Cost
71.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stewart Memorial Community Hospital Current Accepting new patients
Stewart Memorial Community Hospital CurrentSince Mar 24, 2024 Accepting new patients
Stewart Memorial Community Hospital CurrentSince Mar 24, 2024 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Catholic Charities PastSince Apr 18, 2018 Accepting new patients

Locations

311 S Clark St
Carroll, IA 51401
Phone (712) 792-3581

1351 W Main St
Lake City, IA 51449
Phone (712) 464-7907

1301 W Main St
Lake City, IA 51449
Phone (712) 464-3171

Interoperability endpoints

  • Direct secure messaging: gnockels1021670@direct.unitypoint.org

Organizations & group practices 11

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": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1326326802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E ADAMS ST",
            "city": "LAKE CITY",
            "state": "IA",
            "postal_code": "514491306",
            "telephone_number": "515-290-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S CLARK ST",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514013038",
            "telephone_number": "712-794-5435",
            "fax_number": "712-792-5751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOCKELS",
        "first_name": "GLENNA",
        "middle_name": "R",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-01",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "007725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA LICENSE",
            "identifier": "007725",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carroll, IA

Sources for this page

Verify at the official NPI Registry.