Patty S. Huebner-Vaughan, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

008082 Issued in IA

Practice address

823 N 6TH St Ste2
Burlington, IA 52601-5229

Phone

(319) 237-1732

Fax

(319) 237-1746

NPI assigned

Jul 28, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

University of Iowa, RJ & L Carver College of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optimae Lifeservices IncGroup PAC ID 8022912211, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Optimae Lifeservices,Inc.

  • Community/Behavioral Health Agency
  • Muscatine, IA
  • NPI 1184898470
  Medicare reassignment Care Compare group NPD
• Optimae Lifeservices, Inc,

  • Community/Behavioral Health Agency
  • Fairfield, IA
  • NPI 1174520084

  Clinical

  NPD
• Nurse in the House, Inc.

  • Home Health Agency
  • Des Moines, IA
  • NPI 1598196040
  NPD (past)
• Rescare, Inc

  • Community/Behavioral Health Agency
  • Fort Madison, IA
  • NPI 1821262114
  NPD (past)

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

{
    "created_epoch": "1343433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1659627552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W BURLINGTON",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525563242",
            "telephone_number": "319-470-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 N 6TH ST STE2",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526015229",
            "telephone_number": "319-237-1732",
            "fax_number": "319-237-1746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUEBNER-VAUGHAN",
        "first_name": "PATTY",
        "middle_name": "S.",
        "name_prefix": "Ms.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-28",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "95055",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "008082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hope Haven Area Development Center Corporation
• Hope Haven Area Development Center Corporation
• Hope Haven Cottonwood
• Joellen M. Hoth, MD
• Kelly S Huber, TLMHC
• Desmonica R Huffman
• James Reichert Hugg, DDS MS
• Allie Logan Hunter, BS
• HW Holdings
• Hy-Vee Inc

• Clinical Social Worker in Burlington, IA
• Providers in Burlington, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.