Individual provider Active NPI

Deborah Pogel, LISW

  • Social Worker
  • Fairfield, IA
National Provider Identifier
1881855047
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
06709 Issued in IA
Practice address
2142 Opal LN
Fairfield, IA 52556-8646
Phone
(641) 455-8400
NPI assigned
Jun 20, 2008
Last updated
Nov 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 06709 IA Primary

Addresses

Primary practice location

2142 Opal LN
Fairfield, IA 52556-8646

Mailing address

2142 Opal LN
Fairfield, IA 52556-8646
Phone (641) 455-8400

Other identifiers 1

IdentifierTypeStateIssuer
107314000OtherIAIOWA PLAN

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
I20140410000318 IA Practitioner - Clinical Social Worker 6507098324 Practice locations: Fairfield, IA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
First Resources Corp Past Accepting new patients
Rescare, Inc Past Accepting new patients

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": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1881855047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2142 OPAL LN",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525568646",
            "telephone_number": "641-455-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2142 OPAL LN",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525568646",
            "telephone_number": "641-455-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POGEL",
        "first_name": "DEBORAH",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-20",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "06709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA PLAN",
            "identifier": "107314000",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, IA

Sources for this page

Verify at the official NPI Registry.