Individual provider Active NPI

Nicole Dawn Van Ginkel, LISW

  • Social Worker
  • Sioux Center, IA
National Provider Identifier
1588824403
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
007046 Issued in IA
Practice address
2929 St Andrews Way
Sioux Center, IA 51250
Phone
(712) 470-0303
NPI assigned
Jun 13, 2008
Last updated
Apr 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 007046 IA Primary
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

2929 St Andrews Way
Sioux Center, IA 51250

Mailing address

PO Box 23
Sioux Center, IA 51250-0023
Phone (712) 470-0303

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
I20101129001067 IA Practitioner - Clinical Social Worker 2567658875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Restore Therapy and Counseling PLCGroup PAC ID 0345651063, 4 clinicians

Practice addresses (Care Compare)

2929 St Andrews Way
Sioux Center, IA 51250-1129
Phone (712) 722-5560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Restore Therapy & Counseling, PLC Clinical CurrentSince Aug 4, 2020 Accepting new patients

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, 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": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1588824403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23",
            "city": "SIOUX CENTER",
            "state": "IA",
            "postal_code": "512500023",
            "telephone_number": "712-470-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 ST ANDREWS WAY",
            "city": "SIOUX CENTER",
            "state": "IA",
            "postal_code": "51250",
            "telephone_number": "712-470-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN GINKEL",
        "first_name": "NICOLE",
        "middle_name": "DAWN",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-13",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "007046",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Center, IA

Sources for this page

Verify at the official NPI Registry.