Lindsey Jennelle, LISW, IAADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

008068 Issued in IA

Practice address

1202 Duff Ave
Ames, IA 50010-5408

Phone

(515) 232-0628

Fax

(515) 232-0727

NPI assigned

Nov 13, 2014

Last updated

Dec 1, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lindsey Moffat Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417392000000",
    "number": "1417353798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9943 HICKMAN RD",
            "address_2": "SUITE 105",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503225304",
            "telephone_number": "515-248-1447",
            "fax_number": "515-248-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 DUFF AVE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500105408",
            "telephone_number": "515-232-0628",
            "fax_number": "515-232-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNELLE",
        "first_name": "LINDSEY",
        "credential": "LISW, IAADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-13",
        "last_updated": "2014-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "008068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "MOFFAT",
            "credential": "LISW, IAADC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Clinical Social Worker in Ames, IA
• Providers in Ames, 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 Dec 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.