Individual provider Active NPI

Sandra Lee Folkerts, LMSW

  • Social Worker
  • Grundy Center, IA
National Provider Identifier
1538719760
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
06322 Issued in IA
Practice address
604 8TH St
Grundy Center, IA 50638-1328
Phone
(800) 531-4236
Fax
(319) 483-6661
NPI assigned
Sep 19, 2019
Last updated
Sep 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 06322 IA Primary

Addresses

Primary practice location

604 8TH St
Grundy Center, IA 50638-1328

Mailing address

PO Box 233
Grundy Center, IA 50638-0233
Phone (800) 531-4236

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
I20221213000259 IA Practitioner - Clinical Social Worker 4587033683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

218 8TH St
Aplington, IA 50604-1000

PO Box
Suite 233
Grundy Center, IA 50638-0233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bridges Community Services, LLC CurrentSince Sep 1, 2024 Accepting new patients
Bridges Community Services Inc Past Accepting new patients

Locations

1441 29th St
Ste 216
West Des Moines, IA 50266
Phone (515) 444-8642

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1538719760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 233",
            "city": "GRUNDY CENTER",
            "state": "IA",
            "postal_code": "506380233",
            "telephone_number": "800-531-4236",
            "fax_number": "319-483-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 8TH ST",
            "city": "GRUNDY CENTER",
            "state": "IA",
            "postal_code": "506381328",
            "telephone_number": "800-531-4236",
            "fax_number": "319-483-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLKERTS",
        "first_name": "SANDRA",
        "middle_name": "LEE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-19",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "06322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grundy Center, IA

Sources for this page

Verify at the official NPI Registry.