Active NPI
Gina Maureen Jansen, MSW, LISW
- Social Worker
- Pella, IA
National Provider Identifier
1932157310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 04768
- Practice address
- 401 Huber St Ste 102
Pella, IA 50219-2015 - Phone
- (641) 628-9966
- Fax
- (000) 000-0000
- NPI assigned
- May 5, 2006
- Last updated
- Aug 19, 2026
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 04768 | IA | Primary |
Addresses
Primary practice location
401 Huber St Ste 102
Pella, IA 50219-2015
Mailing address
140 Timber Ridge Dr
Pella, IA 50219-7847
Phone (641) 628-9966
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04768 | Other | IA | LICENSE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04768 | IA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787097600000",
"number": "1932157310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 TIMBER RIDGE DR",
"city": "PELLA",
"state": "IA",
"postal_code": "502197847",
"telephone_number": "641-628-9966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 HUBER ST STE 102",
"city": "PELLA",
"state": "IA",
"postal_code": "502192015",
"telephone_number": "641-628-9966",
"fax_number": "000-000-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANSEN",
"first_name": "GINA",
"middle_name": "MAUREEN",
"credential": "MSW, LISW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-05",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IA",
"license": "04768",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "04768",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pella, IA
- Infinity Physical Therapy PC
- Lucas Charles Ingle
- Iowa Center for Orofacial Health and Development PC
- Iowa Orthopaedic Center, P.C. (Iowa Ortho)
- Garret John Jansen, SPEECH PATHOLOGIST
- Jeffrey F. Allen, D.D.S., P.C.
- Cheyanna Jennings
- Kayla Marie Jiskoot, M.A. CCC-SLP
- Andrew Joseph Johnson, CRNA
- Jake Johnson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.