Individual provider Active NPI

Julianne M Klesel, LISW

  • Clinical Social Worker
  • Sioux City, IA
National Provider Identifier
1982652640
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06260 Issued in IA
Practice address
1601 Military Rd
Sioux City, IA 51103-1715
Phone
(712) 252-4547
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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 06260 IA Primary

Addresses

Primary practice location

1601 Military Rd
Sioux City, IA 51103-1715

Mailing address

1601 Military Rd
Sioux City, IA 51103-1715
Phone (712) 252-4547

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
I20031121000037 IA Practitioner - Clinical Social Worker 5193629244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Catholic Charities of the Archdiocese of Dubuque IowaGroup PAC ID 5294998027, 6 clinicians

Practice addresses (Care Compare)

1229 Mount Loretta Ave
Dubuque, IA 52003-7826
Phone (563) 588-0558

3835 W 9TH St
Waterloo, IA 50702-5913
Phone (319) 340-4303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06260IAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities of the Archdiocese of Dubuque Iowa CurrentSince Aug 22, 2022 Accepting new patients
Mercy Health Services-Iowa Corp Past Accepting new patients
Betty L Harmon Past Accepting new patients

Locations

1229 Mount Loretta Ave
Dubuque, IA 52003
Phone (563) 588-0558

3835 W 9th St
Waterloo, IA 50702
Phone (319) 232-5233

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1982652640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MILITARY RD",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511031715",
            "telephone_number": "712-252-4547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MILITARY RD",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511031715",
            "telephone_number": "712-252-4547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLESEL",
        "first_name": "JULIANNE",
        "middle_name": "M",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "06260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.