Jora Van Maanen, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

091463 Issued in IA

Practice address

713 E 1St St
Pella, IA 50219-1632

Phone

(641) 324-6402

NPI assigned

Jun 25, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jora Vander Hart Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 8, 2024 through Oct 8, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1689169476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 E 1ST ST",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191632",
            "telephone_number": "641-324-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 E 1ST ST",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191632",
            "telephone_number": "641-324-6402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "808 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503091307",
            "country_code": "US",
            "telephone_number": "515-244-2267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN MAANEN",
        "first_name": "JORA",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-25",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "091463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORA",
            "last_name": "VANDER HART",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brittany Tromp
• Alison Rae Troutman
• Clark Ullerich, MPT
• Nicholas Van Beek
• Van Hemert Chiropractic Center, P.C.
• Jody L Van Veen, ARNP
• Kayla Van Wyk
• Kenneth Wayne Van Wyk, D.C.
• Tereasa L. Van Zee, DO
• Robin L. Vande Voort, MD

• Clinical Social Worker in Pella, IA
• Providers in Pella, 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 Jan 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.