Individual provider Active NPI

Jayne E. Naughton, LISW

  • Clinical Social Worker
  • Davenport, IA
National Provider Identifier
1679923734
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
080988 Issued in IA
Practice address
2028 E 38TH St Ste 3
Davenport, IA 52807-1168
Phone
(563) 424-2016
Fax
(563) 424-2017
NPI assigned
Jun 20, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 080988 IA Primary

Addresses

Primary practice location

2028 E 38TH St Ste 3
Davenport, IA 52807-1168

Mailing address

2028 E 38TH St Ste 3
Davenport, IA 52807-1168
Phone (563) 424-2016

Other identifiers 1

IdentifierTypeStateIssuer
1708801MedicaidIA

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
I20190625002063 IA Practitioner - Clinical Social Worker 3072847052 Reassigns benefits to 1 organization
Practice locations: Davenport, IA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
QC Counselor PLCGroup PAC ID 9537510730, 4 clinicians

Practice addresses (Care Compare)

2028 E 38TH St
Suite 3
Davenport, IA 52807-1168
Phone (563) 424-2016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
QC Counselor PLC CurrentSince May 12, 2024 Accepting new patients

Locations

2028 E 38th St
Ste 3
Davenport, IA 52807
Phone (563) 424-2016

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1679923734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 E 38TH ST STE 3",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528071168",
            "telephone_number": "563-424-2016",
            "fax_number": "563-424-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2028 E 38TH ST STE 3",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528071168",
            "telephone_number": "563-424-2016",
            "fax_number": "563-424-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAUGHTON",
        "first_name": "JAYNE",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "080988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1708801",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.