AMY JOLENE DAVIDSON-JACOBS (LISW) – Social Worker, NPI 1194043505
Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
827 CLINICAL SOCIAL WORKER in IA
Provider Addresses for AMY JOLENE DAVIDSON-JACOBS (LISW)
403 1st St SE
Belmond, IA 504211201
Phone: (641) 444-3500
Fax: (641) 444-5554
Type: Location
215 13th Ave SW
Clarion, IA 505252078
Phone: (515) 532-2836
Fax: (515) 532-2523
Type: Location
700 2nd St SE
Hampton, IA 504412658
Phone: (641) 812-1094
Fax: (641) 812-1096
Type: Location
403 1ST ST SE
BELMOND, IA 504211201
Phone: (641) 444-3500
Fax: (641) 444-5554
Type: Mailing
840 W US HIGHWAY 18
GARNER, IA 504381023
Phone: (641) 925-1500
Fax: (641) 925-1507
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: 2015-11-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (922 days ago).
Enrollment records
1
Earliest due date
2023-11-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20151104000269 | I | Clinical Social Worker | IA | 2023-11-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 50421)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | OH | |
| General Surgery | IA | |
| Clinical Social Worker | IA | |
| Clinical Social Worker | IA | |
| Sleep Medicine, Internal Medicine | IA | |
| - | IA | |
| Emergency Medicine, Family Practice | NE | |
| Mental Health Counselor | IA | |
| Clinical Social Worker | IA | |
| Nurse Practitioner | IA |
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