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MRS. JACKIE LYNN FOBER LISW
NPI 1851275259
Social Worker in Waverly, IA

Active since July 31, 2025PECOS Enrolled
124 2ND ST NE, WAVERLY, IA 50677(319) 344-4994 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Jackie Lynn Fober Lisw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JACKIE LYNN FOBER LISW (NPI 1851275259) is an individual social worker in Waverly, Iowa, licensed in Iowa (02208) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1851275259
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMRS. JACKIE LYNN FOBERCredential: LISW
Location Address124 2ND ST NEWaverly, IA 50677-1762
Mailing Address104 Parkview RdDenver, IA 50622-1117 · (319) 242-1128
Phone(319) 344-4994
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJuly 31, 2025
Last NPPES UpdateMay 12, 2026
NPPES CertifiedMay 12, 2026
✔ NPI 1851275259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in IA · 02208
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
124 2ND ST NE, Waverly, IA 50677
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jackie Lynn Fober Lisw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496224693
PECOS Enrollment IDI20260518000977
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAUER VISION CENTER PC
Ophthalmology
124 2ND ST NE
WAVERLY, IA 50677
Bremer County (319) 352-2020
CARLY ANN DALBERG
Counselor (Mental Health)
124 2ND ST NE
WAVERLY, IA 50677
Bremer County (319) 344-4994
STEPHANIE FAULKNER
Counselor (Mental Health)
124 2ND ST NE
WAVERLY, IA 50677
Bremer County (319) 344-4994
DR. RON W ROELFS OD
Optometrist
124 2ND ST NE
WAVERLY, IA 50677
Bremer County (319) 352-2020
BRIANNA D POTTER LMHC
Counselor
124 2ND ST NE
WAVERLY, IA 50677
Bremer County (319) 344-4994

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackie Fober's NPI number?

The NPI number for Jackie Fober is 1851275259. It was assigned to this individual provider in the NPPES registry on July 31, 2025.

Where is Jackie Fober located?

Jackie Fober practices at 124 2nd St NE, Waverly, IA 50677. The listed phone number is (319) 344-4994.

What is Jackie Fober's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Jackie Fober enrolled in Medicare?

Yes. Jackie Fober is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jackie Fober was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.