Doris A Wallenburg, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

007232 Issued in IA

Practice address

1505 20TH St
Rock Valley, IA 51247-1040

Phone

(712) 541-3836

Fax

(712) 707-9220

NPI assigned

Dec 13, 2010

Last updated

Dec 13, 2010By the provider in NPPES

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

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

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Solutions Services, Inc.Group PAC ID 1951479591, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Solutions Services, Inc.

  • Community/Behavioral Health Agency
  • Orange City, IA
  • NPI 1891870374
  Medicare reassignment Care Compare group NPD
• Family Solutions Services 1, Inc.

  • Community/Behavioral Health Agency
  • Orange City, IA
  • NPI 1396063624
  NPD (past)

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292198400000",
    "number": "1902109994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 20TH ST",
            "city": "ROCK VALLEY",
            "state": "IA",
            "postal_code": "512471040",
            "telephone_number": "712-541-3836",
            "fax_number": "712-707-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 20TH ST",
            "city": "ROCK VALLEY",
            "state": "IA",
            "postal_code": "512471040",
            "telephone_number": "712-541-3836",
            "fax_number": "712-707-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLENBURG",
        "first_name": "DORIS",
        "middle_name": "A",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "007232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Scott Vanpeursem, PA-C
• Aaron Marc Vanwyhe, DC
• Stanton L Visser, ED.D.
• Dayton J Vogel, ED.D.
• Wanda Lou Vos, LMHC LMSW
• Erica Wassenaar

• Clinical Social Worker in Rock Valley, IA
• Providers in Rock Valley, 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 13, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.