Karla Jean Reznicek, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

04899 Issued in IA

Practice address

1308 Shepherd Ave
Waverly, IA 50677-9632

Phone

(319) 596-4239

NPI assigned

Oct 9, 2015

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

Medicare fee-for-service enrollment

Enrolled in NE

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

Mental Health Counselor

Education

Other, 2002

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Great Plains Mental Health Associates LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Omaha, NE
  • NPI 1831614064
  Medicare reassignment

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444348800000",
    "number": "1528439007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 10TH ST SW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506772925",
            "telephone_number": "563-237-5300",
            "fax_number": "563-267-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 SHEPHERD AVE",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506779632",
            "telephone_number": "319-596-4239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZNICEK",
        "first_name": "KARLA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-09",
        "last_updated": "2015-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "04899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Marie Reiter
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• Denise Faye Renaud, SLP
• Rebecca Renze, TLMHC
• Ekaradhika Lila Requena
• Jennifer Renee McCormick Rikkers
• Katherine Jane Marrie Ringo, LPT
• Rock Valley Physical Therapy Center
• Ron W Roelfs, OD
• Samantha J Rogers, LPT

• Social Worker in Waverly, IA
• Providers in Waverly, IA by specialty
• Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; 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.