Individual provider Active NPI

Jill Sandra Asbury, LISW

  • Clinical Social Worker
  • Bettendorf, IA
National Provider Identifier
1861532699
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
00714 Issued in IA
Practice address
852 Middle Rd Ste 101
Bettendorf, IA 52722-4195
Phone
(563) 383-1900
NPI assigned
Feb 8, 2007
Last updated
Aug 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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 00714 IA Primary

Addresses

Primary practice location

852 Middle Rd Ste 101
Bettendorf, IA 52722-4195

Mailing address

1441 W Central Park Ave
Davenport, IA 52804-1707
Phone (563) 383-1900

Other practice location 1

1441 W Central Park Ave
Davenport, IA 52804-1707
Phone (563) 383-1900

Other identifiers 1

IdentifierTypeStateIssuer
420716337MedicaidIA

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
I20080514000863 IA Practitioner - Clinical Social Worker 4082783253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vera French Community Mental HealthGroup PAC ID 6103715214, 34 clinicians

Practice addresses (Care Compare)

852 Middle Rd
Suite 101
Bettendorf, IA 52722-4195
Phone (563) 383-1900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00714IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vera French Community Mental Health CurrentSince Oct 1, 2007 Accepting new patients
Vera French Community Mental Health CurrentSince Dec 10, 2023 Accepting new patients

Locations

852 Middle Rd
Ste 101
Bettendorf, IA 52722
Phone (563) 383-1900

1441 W Central Park Ave
Davenport, IA 52804
Phone (563) 383-1900

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": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1861532699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 W CENTRAL PARK AVE",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528041707",
            "telephone_number": "563-383-1900",
            "fax_number": "563-884-4638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "852 MIDDLE RD STE 101",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527224195",
            "telephone_number": "563-383-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1441 W Central Park Ave",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "IA",
            "postal_code": "528041707",
            "country_code": "US",
            "telephone_number": "563-383-1900",
            "fax_number": "563-884-4638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASBURY",
        "first_name": "JILL",
        "middle_name": "SANDRA",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "00714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420716337",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bettendorf, IA

Sources for this page

Verify at the official NPI Registry.