Jennifer Ann Hentges, LMSW
Individual provider Active NPI Social Worker · Manchester, IA
NPI 1407386246 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1407386246
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 086688 (IA)
- Practice address
- 118 West Main Professional Park Building
Manchester, IA 52057 - Phone
- (563) 927-3281
- Fax
- (563) 927-2103
- NPI assigned
- Jun 14, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lutheran Services in Iowa Inc
Practice addresses (Care Compare)
3125 Cottage Grove Ave
Des Moines, IA 50311-3809
Phone (515) 274-4946
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 |
|---|---|---|---|---|
| I20200317001993 | IA | Practitioner - Clinical Social Worker | 3678901014 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lutheran Services in Iowa, Inc. | Social Worker | Current |
Accepting new patients |
Locations
3125 Cottage Grove Ave
Des Moines, IA 50311
Phone (515) 274-4946
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 086688 | IA | Yes |
Addresses
Primary practice location
118 West Main Professional Park Building
Manchester, IA 52057
Mailing address
804 1/2 7TH Ave SE
Dyersville, IA 52040-2123
Other practice location 1
2255 John F. Kennedy Rd.
Dubuque, IA 52002
Phone (563) 582-0044
Other providers in Manchester, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. 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.