Individual provider Active NPI

Rebekah Dawn Lauritzen

  • Clinical Social Worker
  • Ames, IA
National Provider Identifier
1588594030
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
097078 Issued in IA
Practice address
614 Billy Sunday Rd Ste 25
Ames, IA 50010-8046
Phone
(515) 337-1764
Fax
(515) 337-0480
NPI assigned
May 19, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 097078 IA Primary

Addresses

Primary practice location

614 Billy Sunday Rd Ste 25
Ames, IA 50010-8046

Mailing address

24285 740TH Ave
State Center, IA 50247-8508
Phone (515) 290-9678

Other names 1

  • Rebekah Burhenn Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
097078IAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1779148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1588594030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24285 740TH AVE",
            "city": "STATE CENTER",
            "state": "IA",
            "postal_code": "502478508",
            "telephone_number": "515-290-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 BILLY SUNDAY RD STE 25",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500108046",
            "telephone_number": "515-337-1764",
            "fax_number": "515-337-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURITZEN",
        "first_name": "REBEKAH",
        "middle_name": "DAWN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-19",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "097078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBEKAH",
            "last_name": "BURHENN",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ames, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.