Heidi Elizabeth Kammer Hodge, MSW, LICSW, LADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15203 Issued in MN

Practice address

505 5TH St Ste 100
Sioux City, IA 51101-1510

Phone

(712) 277-2007

Fax

(712) 277-2189

NPI assigned

Jan 8, 2007

Last updated

Sep 5, 2024By 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 2

Addresses

Other identifiers 1

Other names 1

• Ms. Heidi Elizabeth Kammer Hodge Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sky Ranch Behavioral Services

  • Addiction (Substance Use Disorder) Counselor
  • Sioux City, IA
  • NPI 1316609720
  NPD

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1902954670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21306",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554210306",
            "telephone_number": "612-804-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 5TH ST STE 100",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011510",
            "telephone_number": "712-277-2007",
            "fax_number": "712-277-2189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "822 Douglas St Ste 209",
            "address_purpose": "LOCATION",
            "city": "Sioux City",
            "state": "IA",
            "postal_code": "511011029",
            "country_code": "US",
            "telephone_number": "712-277-2007",
            "fax_number": "712-277-2189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAMMER HODGE",
        "first_name": "HEIDI",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "MSW, LICSW, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "15203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA DEPT OF PUBLIC HEALTH BUREAU OF PROFESSIONAL LICENSURE",
            "identifier": "084261",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "KAMMER HODGE",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "credential": "MSW, LICSW, LADC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Cynthia Jurado Marquez, ARNP
• Michael Todd Kafka, MD
• Stephen P Kahanic, MD
• Daniel Lynn Kaler, DDS
• Mary Anne Kallsen, MARY KALLSEN
• Veronica Irene Kappler, RN
• Bruce Benjamin Joseph Kardell, LMHC
• Jordan Karlson, BCBA
• Sara Helen Karpuk, PA-C
• Keith A Karstens, PSYD

• Clinical Social Worker in Sioux City, IA
• Providers in Sioux City, 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 Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.