DOREEN C BAERENTZEN (LISW) – Clinical Social Worker, NPI 1154158434

DOREEN C BAERENTZEN (LISW) is a healthcare provider. based in Linn grove, Iowa. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LISW. They hold a License No. 128285 (IA). The NPI Number for DOREEN C BAERENTZEN (LISW) is 1154158434

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
DOREEN C BAERENTZEN (LISW)
NPI
1154158434
Phone
(402) 677-8225
Address
215 E WARD ST
Enumeration Date
19 September 2024
Last Update Date
19 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7122342300
Graduation Year
1998 (28 years ago)
PAC ID
4789115759
Group Practice PAC ID
2466599634
Professional Enrollment ID
I20241001002579
Address ID
IA511033204SI3200XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:1State licenses:2Digital endpointsOther names

828 CLINICAL SOCIAL WORKER in IA

Provider Addresses for DOREEN C BAERENTZEN (LISW)

  • 215 E WARD ST

    LINN GROVE, IA 510338013

    Phone: (402) 677-8225

    Type: Mailing

  • 1713 MCNAUGHTON WAY

    SPENCER, IA 513012835

    Phone: (712) 584-2030

    Fax: (815) 720-5080

    Type: Location

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: 2024-10-01

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
I20241001002579IClinical 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 51033)

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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: 2466599634View full group profile
NameSpecialtyState
Mental Health CounselorIA
Nurse PractitionerIA
Clinical Social WorkerIA
Mental Health CounselorIA
-IA
Nurse PractitionerIA
Nurse PractitionerIA

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Frequently asked questions

What is DOREEN C BAERENTZEN (LISW)'s NPI number?
DOREEN C BAERENTZEN (LISW)'s NPI is 1154158434 — the number used across U.S. healthcare to identify this provider.
Would DOREEN C BAERENTZEN (LISW) appear as active to a payer?
You can treat DOREEN C BAERENTZEN (LISW) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DOREEN C BAERENTZEN (LISW)?
DOREEN C BAERENTZEN (LISW) is associated with Clinical Social Worker in the directory — Clinical services aligned with this taxonomy classification.
Is DOREEN C BAERENTZEN (LISW) located near Linn Grove?
DOREEN C BAERENTZEN (LISW) currently maps to Linn Grove, Iowa in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.