Stefanie Louise Dingbaum, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

095355 Issued in IA

Practice address

105 E Butler St
Manchester, IA 52057-1606

Phone

(563) 929-6571

NPI assigned

Jun 23, 2023

Last updated

Jan 29, 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 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

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.

• Waves Healing Therapy, LLC

  • Clinical Social Worker
  • Manchester, IA
  • NPI 1053097113
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1687478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1942986096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 SUMMIT ST",
            "city": "EARLVILLE",
            "state": "IA",
            "postal_code": "520412562",
            "telephone_number": "563-608-4281",
            "fax_number": "563-822-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E BUTLER ST",
            "city": "MANCHESTER",
            "state": "IA",
            "postal_code": "520571606",
            "telephone_number": "563-929-6571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINGBAUM",
        "first_name": "STEFANIE",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-23",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "095355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delaware County Memorial Hospital (Regional Medical Center)
• Delaware County Memorial Hospital (Regional Medical Center)
• Delaware County Memorial Hospital (Backbone Area Counseling Center)
• Dental Associates of Manchester
• Angela Cae Detmering, RPH, BS
• Blanka Divisova, M.D.
• Dubuque Internal Medicine PC (Tri-State Dialysis Manchester)
• Dunn Chiropractic Clinic
• Garry M Dunn, D.C.
• Derek Manson Dzaboff, ARNP FNP-BC

• Clinical Social Worker in Manchester, IA
• Providers in Manchester, 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 29, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.