JUDITH GERALYN PANCRATZ


Address: 3103 Tremont Ave, Davenport, IA 52803-1751
Phone: 5632093021

JUDITH GERALYN PANCRATZ (NPI# 1013222728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013222728
Entity Type Individual
Full Name JUDITH GERALYN PANCRATZ
Credential LISW
Practice Address 3103 Tremont Ave
Davenport
IA 52803-1751
Practice Telephone 5632093021
Mailing Telephone 5632093021
Enumeration Date 2010-08-18
Last Update Date 2010-08-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker 00872 IA Behavioral Health & Social Service Providers

Office Location

Street Address 3103 TREMONT AVE
City DAVENPORT
State IA
Zip Code 52803-1751

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1679189971 Amber Rae Rupiper Physician Assistant 518 Locus Street, Davenport, IA 52803 2020-09-22
1558869321 Devan Louis Depauw Physician Assistant 1227 East Rusholme St., Davenport, IA 52803 2018-01-26
1215383070 Brittney N Hughes Nurse Practitioner 1228 E Rusholme Street, Suite 3020, Davenport, IA 52803 2016-05-11
1992138747 Sarah Beth Schlickman Nurse Practitioner 1228 E Rusholme St Ste 3020, Davenport, IA 52803 2013-08-15
1154763845 Leslie A Poston Nurse Practitioner 1228 E. Rushome Street, Mob I, Suite 2100, Davenport, IA 52803 2013-07-23
1083878896 Jolene Marie Dague Dentist 1905 N. Main St, Davenport, IA 52803 2008-07-11
1952436370 Joann C Milani Psychologist 1503 Brady Street, Davenport, IL 52803 2007-02-23
1942343579 Lisa Clare Ploehn Pharmacist 129 West Locust Street, Davenport, IA 52803 2007-02-14
1366597957 Cathleen Ann Clark Social Worker 1706 N Brady, Suite 204, Davenport, IA 52803 2007-01-24
1184781940 William Burke Ltd Durable Medical Equipment & Medical Supplies 129 West Locust, Davenport, IA 52803 2007-01-02
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Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801362926 Lindsay Renee Gaddis Social Worker 1330 Royal St George Blvd, Davenport, FL 33896-5496 2018-10-16
1407373830 Lynette Bisanz Social Worker 1722 Washington St, Davenport, IA 52804-3616 2017-08-25
1083065700 Samantha Marie Conger Social Worker 1622 W 71st St, Davenport, IA 52806-7601 2016-06-23
1780054866 Amber Paige Social Worker 538 Brayton Ln, Davenport, FL 33897-6244 2015-10-01
1124494380 Erica Lauren Hempel Bucy Social Worker 1333 W. Lombard St. Ste C, Davenport, IA 52804 2015-08-11
1558761346 Sophia Bridgette Reid Social Worker 302 Rollins Dr, Davenport, FL 33837-8239 2014-08-28
1851726160 Morgan Cobie Ketner Social Worker 4620 E 53rd St Ste 235, Davenport, IA 52807-3620 2013-09-05
1184960726 Emily R Clifton Social Worker 1678 W 42nd St Apt 2, Davenport, IA 52806-4516 2013-01-01
1710142450 Deborah Lee Moeller Social Worker 4455 East 56th Street, Davenport, IA 52807 2008-07-22
1811162415 Mary A Schnack Social Worker 1730 Wilkes Ave, Davenport, IA 52804-3546 2008-04-24
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Competitor

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City DAVENPORT
Zip Code 52803

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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