Kathryn S Haberman, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

06449 Issued in IA

Practice address

2022 3Rd Ave NW
Waverly, IA 50677-2010

Phone

(319) 596-5910

NPI assigned

Mar 8, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Center for Foundational and Relational Wellness LLCGroup PAC ID 9739519505, 2 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.

• Center for Foundational & Relational Wellness LLC

  • Community/Behavioral Health Agency
  • Waverly, IA
  • NPI 1588295695
  Medicare reassignment Care Compare group NPD Authorized official
• Kimberly Anne Conrad PLC

  • School Counselor
  • Waucoma, IA
  • NPI 1932286085
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1831220094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MAPLE AVENUE N.E.",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "50677",
            "telephone_number": "319-352-2479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 3RD AVE NW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506772010",
            "telephone_number": "319-596-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABERMAN",
        "first_name": "KATHRYN",
        "middle_name": "S",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "06449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "APPLIED",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher James Goetzinger, MD
• Kristen Grapp, ARNP
• Stephanie Marie Grieger, PT
• H Mark Trunnell DDS PC
• Tanya Haase, SLP
• Chelsey Halverson, PA-C
• Jennifer Sue Hansen, MPT
• Jean Ann Harrington Britt, OTRL
• Jordyn Lee Harris, SLP
• Emily Renee Hawkins

• Clinical Social Worker in Waverly, IA
• Providers in Waverly, 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 Oct 9, 2024; 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.