Michelle D Mehrens, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

095792 Issued in IA

Practice address

3625 Utica Ridge Rd Ste F
Bettendorf, IA 52722-1653

Phone

(563) 359-6750

NPI assigned

Mar 23, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Michelle D Hardin Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Life Connection, L.C.

  • Early Intervention Provider Agency
  • Cedar Rapids, IA
  • NPI 1538300892

  Social Worker

  NPD

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1720615677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 UTICA RIDGE RD STE F",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221653",
            "telephone_number": "563-359-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 UTICA RIDGE RD STE F",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221653",
            "telephone_number": "563-359-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHRENS",
        "first_name": "MICHELLE",
        "middle_name": "D",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-23",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "095792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://lifeconnections.kasa-solutions.com/index.php",
            "affiliation": "N",
            "endpointDescription": "EHR System - Kasa Practice Solutions",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "215 4th Ave SE",
            "city": "Cedar Rapids",
            "state": "IA",
            "country_code": "US",
            "postal_code": "524011844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "HARDIN",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michelle McMurray, OTRL
• Lee Douglas McNaughton, DC
• Linda Louise McNeill, SPEECH PATHOLOGIST
• Jamie Renee McWade, LMHC, IADC
• Medicx Trans LLC
• Falguni N. Mehta, M.D.
• Nilesh R. Mehta, M.D.
• Nathan C Meloy, D.O.
• Katelyn Audrey Mendini, DC
• Amanda Mendoza, LMSW

• Social Worker in Bettendorf, IA
• Providers in Bettendorf, IA by specialty
• Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.