Individual provider Active NPI

Susan Marie Nagel, LISW

  • Social Worker
  • Adel, IA
National Provider Identifier
1639887573
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
00689 Issued in IA
Practice address
Adel Acres 1919 Greene St.
Adel, IA 50003
Phone
(515) 993-4511
NPI assigned
Nov 9, 2022
Last updated
Nov 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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 00689 IA Primary

Addresses

Primary practice location

Adel Acres 1919 Greene St.
Adel, IA 50003

Mailing address

5217 Bean BND
Panora, IA 50216-8613
Phone (563) 940-5011

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
I20241118001142 IA Practitioner - Clinical Social Worker 9234663980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bridges Community Services IncGroup PAC ID 7214305671, 5 clinicians

Practice addresses (Care Compare)

1441 29TH St
Suite 216
West Des Moines, IA 50266-1309
Phone (951) 290-7570

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00689IAMDSocial Worker

Practice roles

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

116 E Spotswood Ave
Elkton, VA 22827

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": "1667952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1639887573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5217 BEAN BND",
            "city": "PANORA",
            "state": "IA",
            "postal_code": "502168613",
            "telephone_number": "563-940-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ADEL ACRES 1919 GREENE ST.",
            "city": "ADEL",
            "state": "IA",
            "postal_code": "50003",
            "telephone_number": "515-993-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGEL",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-09",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "00689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adel, IA

Sources for this page

Verify at the official NPI Registry.