Individual provider Active NPI

Jennifer A Pearson, LISW

  • Clinical Social Worker
  • Cedar Rapids, IA
National Provider Identifier
1528244399
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
117687 Issued in IA
Practice address
3412 Center Point Rd NE
Cedar Rapids, IA 52402-5575
Phone
(319) 382-8660
Fax
(319) 382-8693
NPI assigned
Jan 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 117687 IA Primary

Addresses

Primary practice location

3412 Center Point Rd NE
Cedar Rapids, IA 52402-5575

Mailing address

3412 Center Point Rd NE
Cedar Rapids, IA 52402-5575
Phone (319) 382-8660

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241119002264 IA Practitioner - Clinical Social Worker 0446785117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Insight Therapy Group PCGroup PAC ID 5597177303, 6 clinicians

Practice addresses (Care Compare)

3412 Ctr Point Rd NE
Cedar Rapids, IA 52402-5575
Phone (319) 382-8660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
117687IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Therapy Group PC Clinical CurrentSince Jan 1, 2025 Accepting new patients

Locations

3412 Center Point Rd NE
Cedar Rapids, IA 52402
Phone (319) 382-8660

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1528244399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3412 CENTER POINT RD NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025575",
            "telephone_number": "319-382-8660",
            "fax_number": "319-382-8693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3412 CENTER POINT RD NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025575",
            "telephone_number": "319-382-8660",
            "fax_number": "319-382-8693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-11",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "117687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.