Craig Groehn
Individual provider Active NPI Clinical Social Worker · Perry, IA
NPI 1356704530 · NPPES record last updated Apr 4, 2016
Key facts
- NPI
- 1356704530
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 00800 (IA)
- Practice address
- 610 10TH St
Perry, IA 50220-2221 - Phone
- (515) 465-7541
- Fax
- (515) 465-7636
- NPI assigned
- Apr 4, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1987
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Rodasi LLC
Sondermind PA
Practice addresses (Care Compare)
500 N 3Rd St
Suite 209
Fairfield, IA 52556-2483
Phone (888) 870-1775
699 Walnut St
Suite 4
Des Moines, IA 50309-3949
Phone (866) 630-0966
818 4TH Ave
Grinnell, IA 50112-2041
Phone (641) 236-1644
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160930000719 | IA | Practitioner - Clinical Social Worker | 1254628548 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00800 | IA | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind, P.a. | Clinical | Current |
Accepting new patients |
| Rodasi LLC | Clinical | Current |
Accepting new patients |
Locations
699 Walnut St
Ste 4
Des Moines, IA 50309
Phone (515) 278-9920
500 N 3rd St
Ste 209
Fairfield, IA 52556
818 4th Ave
Grinnell, IA 50112
Phone (641) 236-1644
684 S Barrington Rd
Streamwood, IL 60107
Phone (630) 883-0815
801 E Douglas Ave
Fl 2
Wichita, KS 67202
Phone (316) 330-5353
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 00800 | IA | Yes |
Addresses
Primary practice location
610 10TH St
Perry, IA 50220-2221
Mailing address
927 8TH St
Boone, IA 50036-2969
Phone (515) 432-7288
Other providers in Perry, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.