JENNIFER HOLLY GRADDICK


Address: 123 N Linn St Ste 2d, Iowa City, IA 52245-2147
Phone: 3195417975

JENNIFER HOLLY GRADDICK (NPI# 1124395256) 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) 1124395256
Entity Type Individual
Full Name JENNIFER HOLLY GRADDICK
Credential LISW
Practice Address 123 N Linn St Ste 2d
Iowa City
IA 52245-2147
Practice Telephone 3195417975
Mailing Telephone 3195417975
Enumeration Date 2011-11-17
Last Update Date 2017-01-31
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
007534 IA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IA 600760369 05

Office Location

Street Address 123 N LINN ST STE 2D
City IOWA CITY
State IA
Zip Code 52245-2147

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154760213 Erica J Reschly Social Worker 123 N Linn St Ste 2d, Iowa City, IA 52245-2147 2013-06-21

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NPI Name Taxonomy Address Enumeration
1730699356 Mary Beth Shapcott Registered Nurse 500 East Market St., Mercy Hospital Diabetes Education, Iowa City, IA 52245 2017-10-10
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1043518368 Robert Brian Goffstein Ophthalmology 403 North 7th Ave, Iowa City, IA 52245 2011-03-10
1750682936 Robert Alvin Blair Dentist 134 Broadmoor Lane, Iowa City, IA 52245 2010-11-04
1215167457 Laura J Ericson Occupational Therapist 540 E Jefferson Street, Ste. 302, Iowa City, IA 52245 2009-07-22
1780818294 Kathryn Leigh Bossen Physical Therapist 540 E. Jefferson Street, Ste. 302, Iowa City, IA 52245 2009-05-12
1073751095 Jessica L Keeran Physical Therapist 2751 Northgate Dr. Ne, Iowa City, IA 52245 2009-01-29
1437330370 Francine Mardarello Hunnicutt Marriage & Family Therapist 1610 East College St, Iowa City, IA 52245 2007-11-20
1659574853 Joan Victoria Rinner Marriage & Family Therapist 121 University Services Building, University of Iowa, Iowa City, IA 52245 2007-06-06
1053529966 Steve Bernt Hammerstrom Chiropractor 373 B Scott Court, Iowa City, IA 52245 2007-05-21
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
1578017224 Breanne Siebach Social Worker 200 Hawkins Dr # Gh124, Iowa City, IA 52242-1009 2016-08-11
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
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Competitor

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City IOWA CITY
Zip Code 52245

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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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