Brekahn Gasvoda, LMSW, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

3251 W 9TH St
Waterloo, IA 50702-5310

Phone

(319) 234-2893

NPI assigned

Jan 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

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

Specialty

Clinical Social Worker

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Black Hawk-Grundy Mental Health Center IncGroup PAC ID 1850280363, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Black Hawk-Grundy Mental Health Center Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waterloo, IA
  • NPI 1316944598
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1801426333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3251 W 9TH ST",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 W 9TH ST",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025310",
            "telephone_number": "319-234-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASVODA",
        "first_name": "BREKAHN",
        "credential": "LMSW, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-23",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette S Garbes, MASSAGE THERAPIST
• Maria del Rosario Garcia Fino
• Jenna Jewel Garcia, LMSW
• Deborah Lynne Garrelts-Daoud, M.D.
• Melissa Tiffiny Garrett, M.D.
• Sarah Elizabeth Gauthier, RN, CNOR, RNFA
• Christopher Julian Gavarrete, D.D.S.
• Courtney Gay
• Annette Christine Geary, FNP-BC
• Tabetha Marie Gehrke, AGACNP

• Clinical Social Worker in Waterloo, IA
• Providers in Waterloo, 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 Sep 12, 2023; 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.

Verify at the official NPI Registry.