Caryl Marie Fuoss, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1836 Issued in IA

Practice address

720 Kenyon Rd
720 Kenyon Road
Fort Dodge, IA 50501-5759

Phone

(515) 955-7171

Fax

(515) 573-7898

NPI assigned

Feb 28, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• North Central Iowa Mental Health Center Inc

  dba UnityPoint Health Berryhill Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Dodge, IA
  • NPI 1801635404
  NPD
• North Central Iowa Mental Health Center Inc

  dba UnityPoint Health-Berryhill Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Dodge, IA
  • NPI 1922188606
  NPD

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1871560714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 KENYON RD",
            "address_2": "NORTH CENTRAL IOWA MENTAL HEALTH CENTER INC DBA UNITYPO",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015759",
            "telephone_number": "515-955-7171",
            "fax_number": "515-573-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 KENYON RD",
            "address_2": "720 KENYON ROAD",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015759",
            "telephone_number": "515-955-7171",
            "fax_number": "515-573-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUOSS",
        "first_name": "CARYL",
        "middle_name": "MARIE",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-28",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "1836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0159608",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "07466",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Friendship Haven, Inc
• Friendship Haven, Inc (Friendship Haven Pharmacy)
• Nicole Friesth, PHARM.D.
• Greg Frommelt, RPH
• Jeffrey Neal Frye
• Ga Combine LLC
• Ga Combine LLC
• Gary Gansen, DPM
• Danette L Garcia, RN
• Jessica Marie Gardner

• Clinical Social Worker in Fort Dodge, IA
• Providers in Fort Dodge, 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 Dec 9, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.