Jackie Lynn Fober, LISW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

02208 Issued in IA

Practice address

124 2ND St NE
Waverly, IA 50677-1762

Phone

(319) 344-4994

NPI assigned

Jul 31, 2025

Last updated

May 12, 2026By the provider in NPPES

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, 1995

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Pathways Behavioral Services Inc

  dba Cedar Valley Mental Health Center

  • Community/Behavioral Health Agency
  • Waverly, IA
  • NPI 1114950979
  Medicare reassignment
• Pathways Behavioral Services Inc

  • Community/Behavioral Health Agency
  • Waterloo, IA
  • NPI 1689734451
  NPD (past)
• Pathways Behavioral Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waterloo, IA
  • NPI 1003663907
  NPD (past)

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

{
    "created_epoch": "1753920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1851275259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PARKVIEW RD",
            "city": "DENVER",
            "state": "IA",
            "postal_code": "506221117",
            "telephone_number": "319-242-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 2ND ST NE",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506771762",
            "telephone_number": "319-344-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOBER",
        "first_name": "JACKIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-31",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "02208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Kay Fienup, R. PH.
• Lois A Fink, LMHC
• Fitch Eye Care PLLC
• Phillip Nathaniel Fitch, O.D.
• Floyd County Memorial Hospital Commission
• Donna M. Foelske
• Samantha Folken, PHARM.D.
• Nathan M Folkerts, D.P.T
• Danielle Fox, OT
• Jane Francine Freeseman, RN

• Social Worker in Waverly, IA
• Providers in Waverly, IA by specialty
• Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.