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

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.

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 (4 clinicians)

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 IDStateProvider typePAC IDDetails
I20230120001635 IA Practitioner - Clinical Social Worker 8921479460 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
0987755IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Behavioral Health Services Current
since Nov 1, 2022
Accepting new patients
WR Jacobs Enterprises, LLC Current
since Jun 23, 2025
Accepting new patients
Crossroads Behavioral Health Center Past
since Jun 1, 2020
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)CodeLicenseStatePrimary
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

All providers in Perry, IA · Clinical Social Worker in Iowa

Sources for this page

Verify at the official NPI Registry.