Active NPI
Karla Marie Manternach
- Clinical Social Worker
- Sac City, IA
National Provider Identifier
1780745356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 01021
- Practice address
- 322 S 13TH St
Sac City, IA 50583-1910 - Phone
- (712) 662-3222
- NPI assigned
- Dec 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 01021 | IA | Primary |
Addresses
Primary practice location
322 S 13TH St
Sac City, IA 50583-1910
Mailing address
322 S 13TH St
Sac City, IA 50583-1910
Phone (712) 662-3222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01021 | Other | IA | LISW LICENSE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031113000837 | IA | Practitioner - Clinical Social Worker | 0547174518 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Manning Regional Healthcare Center
Practice addresses (Care Compare)
1550 6TH St
Manning, IA 51455-1004
Phone (712) 655-2072
322 S 13TH St
Sac City, IA 50583-1910
Phone (712) 662-3222
Hospital & facility affiliations
- Manning Regional Healthcare Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01021 | IA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manning Regional Healthcare Center | Current | Accepting new patients | |
| Manning Regional Healthcare Center | Current | Accepting new patients | |
| Manning Regional Healthcare Center | Current | Accepting new patients | |
| Howard Center Inc. | Past | Accepting new patients | |
| Northwest Iowa Mental Health Center | Past | Accepting new patients | |
| Touching Lives Center, LLC | Clinical | Past | Accepting new patients |
| Howard Center Inc. | Past | Accepting new patients | |
| Northwest Iowa Mental Health Center | Past | Accepting new patients |
Locations
1550 6th St
Manning, IA 51455
Phone (712) 655-2072
Interoperability endpoints
- kmanternach@cynchealthdsm.org
- mrhcfamilypracticeclinic@cynchealthdsm.org
Organizations & group practices 9
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.
-
- Rural Health Clinic/Center
- Manning, IA
- NPI 1528362910
-
- Community/Behavioral Health Agency
- Sac City, IA
- NPI 1396899209
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sac City, IA
- NPI 1447265277
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Spencer, IA
- NPI 1356198675
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Spencer, IA
- NPI 1689669459
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199404800000",
"number": "1780745356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 S 13TH ST",
"city": "SAC CITY",
"state": "IA",
"postal_code": "505831910",
"telephone_number": "712-662-3222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 S 13TH ST",
"city": "SAC CITY",
"state": "IA",
"postal_code": "505831910",
"telephone_number": "712-662-3222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANTERNACH",
"first_name": "KARLA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2008-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "01021",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LISW LICENSE",
"identifier": "01021",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sac City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.