JENNY C MCINTIRE (LISW) – Clinical Social Worker, NPI 1013384932

JENNY C MCINTIRE (LISW) is a healthcare provider. based in Hiawatha, Iowa. specializing in Clinical Social Worker. They hold the professional credentials LISW. They hold a License No. 072841 (IA). The NPI Number for JENNY C MCINTIRE (LISW) is 1013384932

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
JENNY C MCINTIRE (LISW)
NPI
1013384932
Phone
(319) 398-3562
Address
740 N 15TH AVE
Enumeration Date
26 August 2015
Last Update Date
9 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3193983562
Graduation Year
2014 (12 years ago)
PAC ID
0244574952
Group Practice PAC ID
5890684336
Professional Enrollment ID
I20181206003268
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for JENNY C MCINTIRE (LISW)

  • 740 N 15TH AVE

    STE A

    HIAWATHA, IA 522332384

    Phone: (319) 398-3562

    Type: Location

  • 1120 Depot Ln SE Ste 100

    Cedar Rapids, IA 524012547

    Phone: (319) 382-9081

    Type: Location

  • 520 11TH ST NW

    CEDAR RAPIDS, IA 524053811

    Phone: (319) 398-3562

    Type: Mailing

  • 7234 HAMPSHIRE DR NE

    CEDAR RAPIDS, IA 524026904

    Phone: (319) 361-5462

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-12-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181206003268IClinical Social WorkerIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 52233)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890684336View full group profile
NameSpecialtyState
-IA
Clinical Social WorkerIA
Nurse PractitionerIA
-IA
P S Y C H I A T R YIA
Mental Health CounselorIA
Clinical Social WorkerIA
Undefined Non Physician Type (Specify)IA
Nurse PractitionerIA
Nurse PractitionerFL

Reviews

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Frequently asked questions

How is JENNY C MCINTIRE (LISW) identified in CMS data?
CMS-hosted NPPES data lists JENNY C MCINTIRE (LISW) with NPI 1013384932.
Does CMS list JENNY C MCINTIRE (LISW) as active?
Yes — JENNY C MCINTIRE (LISW) is active in the NPI listing used on this page.
What taxonomy line describes JENNY C MCINTIRE (LISW)?
For research purposes, treat JENNY C MCINTIRE (LISW) as Clinical Social Worker in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect JENNY C MCINTIRE (LISW) on a map?
Expect Hiawatha, Iowa as a primary anchor for JENNY C MCINTIRE (LISW) unless the record lists multiple sites.
Why does JENNY C MCINTIRE (LISW) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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