Individual provider Active NPI

Sandra G Redshaw, MSW

  • Clinical Social Worker
  • Council Bluffs, IA
National Provider Identifier
1386698447
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
01157 Issued in IA
Practice address
300 W Broadway
Suite 270
Council Bluffs, IA 51503-9045
Phone
(712) 256-7511
Fax
(712) 256-9766
NPI assigned
May 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 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 01157 IA Primary
Clinical Social Worker 1041C0700X 1509 NE

Addresses

Primary practice location

300 W Broadway
Suite 270
Council Bluffs, IA 51503-9045

Mailing address

300 W Broadway
Suite 270
Council Bluffs, IA 51503-9045
Phone (712) 256-7511

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
I20060711000158 IA Practitioner - Clinical Social Worker 4789697913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Horizon Therapy Group LLCGroup PAC ID 0244243475, 10 clinicians

Practice addresses (Care Compare)

300 W Broadway
Suite 270
Council Bluffs, IA 51503-9028
Phone (712) 256-7511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00157IAMDClinical Psychologist
1509NEMDPhysical Therapy Assistant
01157IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Therapy Group, LLC CurrentSince Jun 5, 2006 Accepting new patients
The Willow Group, P.C. Past Accepting new patients

Locations

300 W Broadway
Ste 270
Council Bluffs, IA 51503
Phone (712) 256-7511

Organizations & group practices 2

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1386698447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W BROADWAY",
            "address_2": "SUITE 270",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515039045",
            "telephone_number": "712-256-7511",
            "fax_number": "712-256-9766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W BROADWAY",
            "address_2": "SUITE 270",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515039045",
            "telephone_number": "712-256-7511",
            "fax_number": "712-256-9766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDSHAW",
        "first_name": "SANDRA",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "01157",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1509",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

Verify at the official NPI Registry.