Individual provider Active NPI

Brooke Woods-Stufflebeem, MA, LISW

  • Clinical Social Worker
  • Ames, IA
National Provider Identifier
1700696333
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
099873 Issued in IA
Practice address
4720 Mortensen Rd Ste 101
Ames, IA 50014-5534
Phone
(515) 599-8904
NPI assigned
Jan 7, 2025
Last updated
Jan 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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 099873 IA Primary

Addresses

Primary practice location

4720 Mortensen Rd Ste 101
Ames, IA 50014-5534

Mailing address

733 NE 9TH St
Ankeny, IA 50021-2009
Phone (515) 460-2089

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
I20250523001443 IA Practitioner - Clinical Social Worker 2163941014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornerstone Counseling Center of Ames IncGroup PAC ID 7214455732, 10 clinicians

Practice addresses (Care Compare)

4720 Mortensen Rd
Suite 101
Ames, IA 50014-5534
Phone (515) 599-8904

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
099873IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Counseling Center of Ames, Inc CurrentSince Apr 18, 2025 Accepting new patients

Locations

4720 Mortensen Rd
Ste 101
Ames, IA 50014
Phone (515) 232-5488

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, 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": "1736208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1700696333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 NE 9TH ST",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500212009",
            "telephone_number": "515-460-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 MORTENSEN RD STE 101",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500145534",
            "telephone_number": "515-599-8904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS-STUFFLEBEEM",
        "first_name": "BROOKE",
        "credential": "MA, LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "099873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

Verify at the official NPI Registry.