Active NPI
Jennifer Renee McCormick Rikkers
- Clinical Social Worker
- Waverly, IA
National Provider Identifier
1891404281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 116786
- Practice address
- 2022 3Rd Ave NW
Waverly, IA 50677-2010 - Phone
- (319) 596-5910
- NPI assigned
- Nov 15, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 116786 | IA | Primary |
Addresses
Primary practice location
2022 3Rd Ave NW
Waverly, IA 50677-2010
Mailing address
2022 3Rd Ave NW
Waverly, IA 50677-2010
Phone (319) 596-5910
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116786 | IA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fiddlehead Counseling and Coaching LLC | Clinical | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Waterloo, IA
- NPI 1154180461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668470400000",
"number": "1891404281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2022 3RD AVE NW",
"city": "WAVERLY",
"state": "IA",
"postal_code": "506772010",
"telephone_number": "319-596-5910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2022 3RD AVE NW",
"city": "WAVERLY",
"state": "IA",
"postal_code": "506772010",
"telephone_number": "319-596-5910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIKKERS",
"first_name": "JENNIFER",
"middle_name": "RENEE MCCORMICK",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-15",
"last_updated": "2022-11-15",
"certification_date": "2022-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "116786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waverly, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.