Individual provider Active NPI

Beth D. Houseal

  • Social Worker
  • Iowa City, IA
National Provider Identifier
1932371077
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
06775 Issued in IA
Practice address
2533 Scott Blvd SE
Iowa City, IA 52240-8195
Phone
(319) 338-9212
NPI assigned
Mar 28, 2008
Last updated
Mar 28, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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 06775 IA Primary

Addresses

Primary practice location

2533 Scott Blvd SE
Iowa City, IA 52240-8195

Mailing address

2533 Scott Blvd SE
Iowa City, IA 52240-8195
Phone (319) 338-9212

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
I20190305000376 IA Practitioner - Clinical Social Worker 8224377536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cedar Rapids Keys to LivingGroup PAC ID 0042559312, 7 clinicians

Practice addresses (Care Compare)

1642 42ND St NE
Cedar Rapids, IA 52402-3076
Phone 3193772161306

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06775IAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Rapids Keys to Living CurrentSince Jan 28, 2019 Accepting new patients

Locations

1642 42nd St NE
Cedar Rapids, IA 52402
Phone (319) 366-2161

1642 42nd St NE
Ste J
Cedar Rapids, IA 52402

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

NPI Registry JSON

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206662400000",
    "number": "1932371077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2533 SCOTT BLVD SE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522408195",
            "telephone_number": "319-338-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2533 SCOTT BLVD SE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522408195",
            "telephone_number": "319-338-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSEAL",
        "first_name": "BETH",
        "middle_name": "D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-28",
        "last_updated": "2008-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "06775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.