Cory Frese, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

007105 Issued in IA

Practice address

800 5TH St
Sioux City, IA 51101-1317

Phone

(712) 234-2321

Fax

(712) 234-2399

NPI assigned

Mar 4, 2016

Last updated

Mar 19, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jackson Recovery Centers IncGroup PAC ID 2466599634, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jackson Recovery Centers, Inc.

  dba Rosecrance Jackson Centers

  • Substance Abuse Rehabilitation Facility
  • Sioux City, IA
  • NPI 1811994973
  Medicare reassignment Care Compare group
• Jackson Recovery Centers, Inc.

  dba Child and Adolescent Recovery Hospital Crisis and Stabilization Unit

  • Children's Substance Abuse Rehabilitation Facility
  • Sioux City, IA
  • NPI 1770966491
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458345600000",
    "number": "1417317306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 5TH ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011317",
            "telephone_number": "712-234-2321",
            "fax_number": "712-234-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 5TH ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011317",
            "telephone_number": "712-234-2321",
            "fax_number": "712-234-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRESE",
        "first_name": "CORY",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-04",
        "last_updated": "2016-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "14008",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "007105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeannie Lynn Franklin, PMHNP
• Elisabeth Franzik Giles
• Alan Fredericksen, M.A., CADC
• Jennifer A Freeman, P.T.
• Dawn E Frein, DDS
• Kathryn A Friedli, LISW, MSW
• Laci Fries
• Cassandra Lee Frimann, PHARM D.
• Ann Terese Frisbie, DOT, MOT, OTR/L
• James Roland Froggatt, MD

• Clinical Social Worker in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.