MRS. BREANNE SIEBACH (NPI# 1578017224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578017224 |
| Entity Type | Individual |
| Full Name | MRS. BREANNE SIEBACH |
| Credential | LISW |
| Practice Address |
200 Hawkins Dr # Gh124 Iowa City IA 52242-1009 |
| Practice Telephone | 3193538190 |
| Mailing Telephone | 3193538190 |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2016-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
083009 | IA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | BC-BS | 60058 | 01 |
| MEDICARE | 160058 | 01 | |
| IA | 0600585 | 05 |
| Street Address |
200 HAWKINS DR # GH124 |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52242-1009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033738679 | Shannon Louise Miers | Physical Therapist | Ui Sports Medicine (iosmr), 2701 Prairie Meadow Drive, Iowa City, IA 52242 | 2020-04-14 |
| 1821624230 | Victoria Troesch | Student in an Organized Health Care Education/Training Program | 375 Newton Rd, Iowa City, IA 52242 | 2020-03-17 |
| 1891338539 | Kira Ann Hennes Blum | Dietitian, Registered | 930 Evashevski Dr., Jacobson Building, Iowa City, IA 52242 | 2019-10-25 |
| 1407330483 | Kristin L Heider | Psychologist | 616 E Bloomington Street, Iowa City, IA 52242 | 2018-09-17 |
| 1447738398 | Allison Kral | Dietitian, Registered | 200 Hawkins Dr. W146 Gh, Iowa City, IA 52242 | 2018-08-02 |
| 1528544780 | Abigail Lynne Schiltz | Physician Assistant | 200 Hawkins Dr 01290a Pfp, Iowa City, IA 52242 | 2018-07-11 |
| 1710474259 | Bashar H. H. Abuqayas | Hospitalist | 200 Hawkins Dr, Se 636 Gh, Uihc-internal Medicine, Iowa City, IA 52242 | 2018-04-19 |
| 1023547395 | Tyler Quist | Internal Medicine | 200 Hawkins Dr Dept of Ophthalmology, Iowa City, IA 52242 | 2017-06-08 |
| 1972962371 | Angeleah Korin Whitlatch | Social Worker | 100 Hawking Drive, Iowa City, IA 52242 | 2016-02-15 |
| 1649667734 | Jennie Sertterh | Specialist/Technologist | 1 Elliot Drive, S181 Carver Hawkeye Arena, Iowa City, IA 52242 | 2015-04-16 |
| Find all providers in zip 52242 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023624913 | Be Well Healing Services, LLC | Social Worker | 1226 Sunset St, Iowa City, IA 52246-4942 | 2020-09-16 |
| 1225662356 | Ricardo Charria | Social Worker | 1020 Kirkwood Ave, Iowa City, IA 52240-5739 | 2020-02-27 |
| 1053964098 | Lindsay L Kenyon | Social Worker | 3330 Lower West Branch Rd, Iowa City, IA 52245-4102 | 2019-07-18 |
| 1740792266 | Katherine Ann Donahue | Social Worker | 960 Longfellow Pl, Iowa City, IA 52240-6267 | 2017-10-25 |
| 1205360054 | Robert Otto | Social Worker | 520 10th Ave Ste B, Iowa City, IA 52241-1910 | 2017-04-19 |
| 1972962371 | Angeleah Korin Whitlatch | Social Worker | 100 Hawking Drive, Iowa City, IA 52242 | 2016-02-15 |
| 1922463769 | Holly Mohr | Social Worker | 2412 Towncrest Dr, Iowa City, IA 52240-6622 | 2015-12-21 |
| 1134509698 | Polly Porter | Social Worker | 1303 Carroll St, Iowa City, IA 52240-4677 | 2015-05-31 |
| 1316378060 | Sojourner Psychotherapy Plc | Social Worker | 300 Scott Ct, Iowa City, IA 52245-3951 | 2013-12-05 |
| 1568804680 | Megan Carnahan Therapy | Social Worker | 924 Sunset St, Iowa City, IA 52246-4935 | 2013-07-18 |
| Find all providers in IOWA CITY | ||||
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| 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.