Individual provider Active NPI

Jennifer Den Boer

  • Social Worker
  • Spencer, IA
National Provider Identifier
1346732385
Registry record updated Jun 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
091726 Issued in IA
Practice address
201 E 11TH St
Spencer, IA 51301-4436
Phone
(800) 242-5101
NPI assigned
Jun 5, 2018
Last updated
Jun 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2018

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 091726 IA Primary

Addresses

Primary practice location

201 E 11TH St
Spencer, IA 51301-4436

Mailing address

1610 13TH Ave
Rock Valley, IA 51247-1153
Phone (712) 470-7381

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
I20240102002985 IA Practitioner - Clinical Social Worker 1254781339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elevate Therapy and Assessment, PLLCGroup PAC ID 6709213507, 9 clinicians

Practice addresses (Care Compare)

104 Central Ave SW
Orange City, IA 51041-1740
Phone (712) 338-6200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
091726IAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Therapy & Assessment, PLLC CurrentSince Nov 29, 2023 Accepting new patients

Locations

104 Central Ave SW
Orange City, IA 51041
Phone (701) 388-2841

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1346732385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 13TH AVE",
            "city": "ROCK VALLEY",
            "state": "IA",
            "postal_code": "512471153",
            "telephone_number": "712-470-7381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E 11TH ST",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513014436",
            "telephone_number": "800-242-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEN BOER",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "091726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spencer, IA

Sources for this page

Verify at the official NPI Registry.