Individual provider Active NPI

Marcy Chilton Dewitt, LMSW

  • Social Worker
  • Oskaloosa, IA
National Provider Identifier
1922363530
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
007801 Issued in IA
Practice address
1229 C Ave E
Oskaloosa, IA 52577-4246
Phone
(641) 672-3159
Fax
(641) 672-3259
NPI assigned
Jul 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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 007801 IA Primary

Addresses

Primary practice location

1229 C Ave E
Oskaloosa, IA 52577-4246

Mailing address

1229 C Ave E
Oskaloosa, IA 52577-4246
Phone (641) 672-3159

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
I20160615000553 IA Practitioner - Clinical Social Worker 1456642933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keokuk County Health CenterGroup PAC ID 0244138774, 23 clinicians

Practice addresses (Care Compare)

23019 Hwy 149
Sigourney, IA 52591-8341
Phone (641) 622-2720

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Keokuk County Health Center CurrentSince Aug 3, 2024 Accepting new patients
Keokuk County Health Center CurrentSince Aug 3, 2024 Accepting new patients
Keokuk County Health Center Current Accepting new patients

Locations

1314 S Stuart St
Ste B
Sigourney, IA 52591
Phone (641) 622-1148

23019 Highway 149
Sigourney, IA 52591
Phone (641) 622-2720

1314 S Stuart St
Sigourney, IA 52591
Phone (641) 622-3840

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/keocohc-1efc0458

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": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1922363530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 C AVE E",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525774246",
            "telephone_number": "641-672-3159",
            "fax_number": "641-672-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 C AVE E",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525774246",
            "telephone_number": "641-672-3159",
            "fax_number": "641-672-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWITT",
        "first_name": "MARCY",
        "middle_name": "CHILTON",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "007801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oskaloosa, IA

Sources for this page

Verify at the official NPI Registry.