Jeffery C Liston, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

501 N 12TH St
Ste.1
Centerville, IA 52544-1439

Phone

(641) 856-2688

Fax

(641) 856-2690

NPI assigned

Apr 15, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398729600000",
    "number": "1740609940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N 12TH ST",
            "address_2": "STE.1",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525441439",
            "telephone_number": "641-856-2688",
            "fax_number": "641-856-2690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N 12TH ST",
            "address_2": "STE.1",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525441439",
            "telephone_number": "641-856-2688",
            "fax_number": "641-856-2690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISTON",
        "first_name": "JEFFERY",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "05587",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Klein-Paisley, PT, DPT
• Tanya Lynn Kuhn, MSN, ARNP, FNP-C
• Kathleen A Lange, M.D.
• Regina M Lassabe, LPC, LMHC
• Donna Lawrence
• Judith E Lunkley, L.C.S.W.
• Maple Grove Senior Living
• James Brad McConville, MD
• Virginia McConville, PA C
• Olivia Catherine McCoy, ARNP

• Clinical Social Worker in Centerville, IA
• Providers in Centerville, 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 Apr 29, 2014; 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.