Individual provider Active NPI

Kun-Hong Lu, LISW

  • Clinical Social Worker
  • Grinnell, IA
National Provider Identifier
1598862328
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06769 Issued in IA
Practice address
827 High St
Grinnell, IA 50112-2132
Phone
(641) 236-8811
Fax
(641) 236-8818
NPI assigned
Sep 20, 2006
Last updated
Dec 22, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2010

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 21077 CA
Clinical Social Worker 1041C0700X 06769 IA Primary

Addresses

Primary practice location

827 High St
Grinnell, IA 50112-2132

Mailing address

PO Box 596
Grinnell, IA 50112-0596
Phone (641) 236-8811

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
I20070912000142 IA Practitioner - Clinical Social Worker 7214020817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

827 High St
Grinnell, IA 50112-2132
Phone (319) 471-1597

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kun-Hong Lu, PC Social Worker CurrentSince Jan 1, 2009 Accepting new patients
Capstone Behavioral Healthcare, Inc PastSince Nov 1, 2021 Accepting new patients
Poweshiek County Mental Health Center Past Accepting new patients

Locations

810 5th Ave
Ste 2
Grinnell, IA 50112
Phone (641) 236-8811

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292976000000",
    "number": "1598862328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 596",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501120596",
            "telephone_number": "641-236-8811",
            "fax_number": "641-236-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 HIGH ST",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501122132",
            "telephone_number": "641-236-8811",
            "fax_number": "641-236-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LU",
        "first_name": "KUN-HONG",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "21077",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "06769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grinnell, IA

Sources for this page

Verify at the official NPI Registry.