Individual provider Active NPI

Carol Gordon Warmbier, LISW

  • Clinical Social Worker
  • Algona, IA
National Provider Identifier
1972625119
Registry record updated Jan 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
02481 Issued in IA
Practice address
117 E Call St
Algona, IA 50511-2444
Phone
(515) 295-3334
Fax
(515) 295-3337
NPI assigned
Apr 6, 2007
Last updated
Jan 25, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2008

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 02481 IA Primary

Addresses

Primary practice location

117 E Call St
Algona, IA 50511-2444

Mailing address

PO Box 474
Humboldt, IA 50548-0474
Phone (515) 295-3334

Other identifiers 6

IdentifierTypeStateIssuer
1972625199MedicaidIA
2163631OtherIACOMPSYCH
55339OtherIABLUE CROSS
11764704OtherIACAQH
138200OtherIAHEALTH ALLIANCE
252903OtherIAMIDLANDS CHOICE

Other names 1

  • Carol Ann Gordon Former name

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
02481IAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Group Mental Health Services Inc Clinical Past Accepting new patients
Susan Jean Marvin Clinical Past Accepting new patients

Organizations & group practices 2

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": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201219200000",
    "number": "1972625119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 474",
            "city": "HUMBOLDT",
            "state": "IA",
            "postal_code": "505480474",
            "telephone_number": "515-295-3334",
            "fax_number": "515-295-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E CALL ST",
            "city": "ALGONA",
            "state": "IA",
            "postal_code": "505112444",
            "telephone_number": "515-295-3334",
            "fax_number": "515-295-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARMBIER",
        "first_name": "CAROL",
        "middle_name": "GORDON",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2008-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "02481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972625199",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH",
            "identifier": "2163631",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "55339",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11764704",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "138200",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "252903",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "GORDON",
            "middle_name": "ANN",
            "credential": "LISW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Algona, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; 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.