Individual provider Active NPI

Anthony Wubben, LMSW

  • Clinical Social Worker
  • Webster City, IA
National Provider Identifier
1851067458
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
2350 Hospital Dr
Webster City, IA 50595-6600
Phone
(515) 832-7800
Fax
(515) 832-9494
NPI assigned
Aug 23, 2021
Last updated
Aug 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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 IA Primary

Addresses

Primary practice location

2350 Hospital Dr
Webster City, IA 50595-6600

Mailing address

PO Box 430
Webster City, IA 50595-0430
Phone (515) 832-7800

Other practice location 1

817 Shakespeare Ave
Stratford, IA 50249-7774
Phone (515) 838-2100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address awubb@vdmc.cernerdirect.com Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231215003304 IA Practitioner - Clinical Social Worker 2961851969 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Humboldt County Memorial Hospital CurrentSince Dec 10, 2023 Accepting new patients
Humboldt County Memorial Hospital Current Accepting new patients

Locations

1000 15th St N
Humboldt, IA 50548
Phone (515) 332-4200

Interoperability endpoints

  • Direct secure messaging: awubb@vdmc.cernerdirect.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1851067458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430",
            "city": "WEBSTER CITY",
            "state": "IA",
            "postal_code": "505950430",
            "telephone_number": "515-832-7800",
            "fax_number": "515-832-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 HOSPITAL DR",
            "city": "WEBSTER CITY",
            "state": "IA",
            "postal_code": "505956600",
            "telephone_number": "515-832-7800",
            "fax_number": "515-832-9494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "817 Shakespeare Ave",
            "address_purpose": "LOCATION",
            "city": "Stratford",
            "state": "IA",
            "postal_code": "502497774",
            "country_code": "US",
            "telephone_number": "515-838-2100",
            "fax_number": "515-832-9494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WUBBEN",
        "first_name": "ANTHONY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "awubb@vdmc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Van Diest Family Health Clinic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2350 Hospital Dr",
            "city": "Webster City",
            "state": "IA",
            "country_code": "US",
            "postal_code": "505956600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Webster City, IA

Sources for this page

Verify at the official NPI Registry.