Individual provider Active NPI

Joellen H. Chuha, MSW,LISW

  • Clinical Social Worker
  • Urbandale, IA
National Provider Identifier
1730110909
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
05753 Issued in IA
Practice address
9001 Hickman Rd
Suite 350
Urbandale, IA 50322-5300
Phone
(515) 251-8882
Fax
(515) 251-8889
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 05753 IA Primary

Addresses

Primary practice location

9001 Hickman Rd
Suite 350
Urbandale, IA 50322-5300

Mailing address

9001 Hickman Rd
Suite 350
Urbandale, IA 50322-5300
Phone (515) 251-8882

Other identifiers 1

IdentifierTypeStateIssuer
0434449MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05753IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
West Central Mental Health Center, Inc. Past Accepting new patients

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730110909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 HICKMAN RD",
            "address_2": "SUITE 350",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503225300",
            "telephone_number": "515-251-8882",
            "fax_number": "515-251-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 HICKMAN RD",
            "address_2": "SUITE 350",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503225300",
            "telephone_number": "515-251-8882",
            "fax_number": "515-251-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUHA",
        "first_name": "JOELLEN",
        "middle_name": "H.",
        "name_prefix": "Mrs.",
        "credential": "MSW,LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "05753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0434449",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbandale, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.