Individual provider Active NPI

Edgar J Siguenza, LISW

  • Clinical Social Worker
  • Cedar Rapids, IA
National Provider Identifier
1962403220
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
00488 Issued in IA
Practice address
3100 E Ave NW
Ste 101
Cedar Rapids, IA 52405-2962
Phone
(319) 396-3110
Fax
(319) 396-8779
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 00488 IA Primary

Addresses

Primary practice location

3100 E Ave NW
Ste 101
Cedar Rapids, IA 52405-2962

Mailing address

800 1St St NW
Cedar Rapids, IA 52405-2713
Phone (319) 396-1066

Other identifiers 1

IdentifierTypeStateIssuer
36843OtherIABCBS

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
00488IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Abbe Center for Community Mental Health, Inc Past Accepting new patients
Abbe Center for Community Mental Health, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: gsiguenza1021493@direct.unitypoint.org

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1962403220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 1ST ST NW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524052713",
            "telephone_number": "319-396-1066",
            "fax_number": "319-396-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 E AVE NW",
            "address_2": "STE 101",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524052962",
            "telephone_number": "319-396-3110",
            "fax_number": "319-396-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIGUENZA",
        "first_name": "EDGAR",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "00488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "36843",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.

Verify at the official NPI Registry.