Joshua John Krueger, LISW
Individual provider Active NPI Clinical Social Worker · Perry, IA
NPI 1407470487 · NPPES record last updated Sep 12, 2024
Key facts
- NPI
- 1407470487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 0987755 (IA)
- Practice address
- 410 12TH St
Perry, IA 50220-7586 - Phone
- (515) 642-4125
- NPI assigned
- Jun 4, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- WR Jacobs Enterprises LLC
Practice addresses (Care Compare)
220 W 1St St B
Central Iowa Family Institute
Ankeny, IA 50023-1751
Phone (515) 509-0219
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 |
|---|---|---|---|---|
| I20230120001635 | IA | Practitioner - Clinical Social Worker | 8921479460 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0987755 | IA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossroads Behavioral Health Services | Current |
Accepting new patients | |
| WR Jacobs Enterprises, LLC | Current |
Accepting new patients | |
| Crossroads Behavioral Health Center | Past |
Accepting new patients | |
| Inside Out Wellness and Advocacy | Past | Accepting new patients |
Locations
220 W 1st St
Ste B
Ankeny, IA 50023
Phone (515) 207-8063
210 Russell St
Creston, IA 50801
Phone (641) 782-8457
1003 Cottonwood Rd
Creston, IA 50801
Phone (641) 782-8457
405 E McLane St
Osceola, IA 50213
Phone (641) 342-4888
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0987755 | IA | Yes |
Addresses
Primary practice location
410 12TH St
Perry, IA 50220-7586
Mailing address
410 12TH St
Perry, IA 50220-7586
Phone (515) 642-4125
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 Sep 12, 2024. 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.