Kathy Jensen, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

05647 Issued in IA

Practice address

1202 W 3Rd St
Davenport, IA 52802-1344

Phone

(563) 327-0172

Fax

(563) 324-2437

NPI assigned

Jan 24, 2014

Last updated

Jan 24, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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, 1979

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Bridgeview Community Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clinton, IA
  • NPI 1073561882

  Clinical

  Medicare reassignment NPD
• Bethany for Children & Families

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Moline, IL
  • NPI 1932178183

  Clinical

  NPD (past)

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

{
    "created_epoch": "1390521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390521600000",
    "number": "1932522059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 W 3RD ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528021344",
            "telephone_number": "563-327-0172",
            "fax_number": "563-324-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 W 3RD ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528021344",
            "telephone_number": "563-327-0172",
            "fax_number": "563-324-2437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "KATHY",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-24",
        "last_updated": "2014-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "05647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah A Jauron, ARNP
• Julie Jenks Kettmann, M.ED.
• Theresa Lynn Jennings, DNP, ARNP
• Valerie Jennings, DDS
• Jennie Sue Jensen, RN
• Jersey Ridge Chiro & Rehab
• Jersey Ridge Dental Associates
• Jersey Ridge Place, L.L.C.
• Jestel Health Services, Inc.
• Jillyn Kaufman, PLC (Blue Tree Counseling & Consultation)

• Clinical Social Worker in Davenport, IA
• Providers in Davenport, 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 Jan 24, 2014; 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.