Olivia Kertels
Individual provider Active NPI Social Worker · Anamosa, IA
NPI 1689417651 · NPPES record last updated Jun 17, 2024
Key facts
- NPI
- 1689417651
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 124962 (IA)
- Practice address
- 203 Hamilton St
Anamosa, IA 52205-1529 - Phone
- (319) 224-0722
- Fax
- (877) 728-2951
- NPI assigned
- Jun 17, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124962 | IA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rise Counseling & Consulting, PLLC | Social Worker | Current |
Accepting new patients |
Locations
203 Hamilton St
Anamosa, IA 52205
213 E Main St
Anamosa, IA 52205
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 124962 | IA | Yes |
Addresses
Primary practice location
203 Hamilton St
Anamosa, IA 52205-1529
Mailing address
213 E Main St
Anamosa, IA 52205-5701
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://www.therapynotes.com/app/login/RISECounseling52205/ | Health Information Exchange (HIE) |
Other providers in Anamosa, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.