Individual provider Active NPI

Julie Lynn Hooyer, LISW

  • Clinical Social Worker
  • Pella, IA
National Provider Identifier
1881930725
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
04215 Issued in IA
Practice address
2611 Washington St
Pella, IA 50219-7924
Phone
(641) 628-9599
NPI assigned
Dec 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 04215 IA
Clinical Social Worker 1041C0700X 04215 IA Primary

Addresses

Primary practice location

2611 Washington St
Pella, IA 50219-7924

Mailing address

404 Jefferson St
Pella, IA 50219-1257
Phone (641) 628-3150

Other practice location 1

404 Jefferson St
Pella, IA 50219-1257
Phone (641) 628-3150

Other identifiers 1

IdentifierTypeStateIssuer
04215OtherIAIOWA LICENSE

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
I20130318000354 IA Practitioner - Clinical Social Worker 8921243163 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1109 Roosevelt Rd
Pella, IA 50219-7965
Phone (641) 780-0864

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rooted Therapy Services, LLC CurrentSince Oct 5, 2022 Accepting new patients
Pine Rest Christian Mental Health Services Social Worker CurrentSince Feb 25, 2019 Accepting new patients
Pine Rest Christian Mental Health Services CurrentSince Feb 25, 2019 Accepting new patients

Locations

2611 Washington St
Pella, IA 50219
Phone (641) 628-9599

1109 Roosevelt Rd
Pella, IA 50219
Phone (641) 780-0864

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1356048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1881930725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 JEFFERSON ST",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191257",
            "telephone_number": "641-628-3150",
            "fax_number": "641-628-7241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 WASHINGTON ST",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502197924",
            "telephone_number": "641-628-9599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "404 Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Pella",
            "state": "IA",
            "postal_code": "502191257",
            "country_code": "US",
            "telephone_number": "641-628-3150",
            "fax_number": "641-628-7241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOOYER",
        "first_name": "JULIE",
        "middle_name": "LYNN",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-21",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "04215",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "04215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA LICENSE",
            "identifier": "04215",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pella, IA

Sources for this page

Verify at the official NPI Registry.