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DORIS A WALLENBURG LMSW
NPI 1902109994
Social Worker - Clinical in Rock Valley, IA

Active since December 13, 2010PECOS EnrolledAccepts Medicare Assignment
1505 20TH ST, ROCK VALLEY, IA 51247(712) 541-3836(712) 707-9220 Get Directions Write a Review

NPPES record last updated: December 13, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Doris A Wallenburg Lmsw NPPES

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

DORIS A WALLENBURG LMSW (NPI 1902109994) is an individual clinical provider in Rock Valley, Iowa, licensed in Iowa (007232) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1902109994
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDORIS A WALLENBURGCredential: LMSW
Location Address1505 20TH STRock Valley, IA 51247-1040
Mailing Address1505 20th StRock Valley, IA 51247-1040 · (712) 541-3836 · Fax (712) 707-9220
Phone(712) 541-3836
Fax(712) 707-9220
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateDecember 13, 2010
✔ NPI 1902109994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IA · 007232
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.
1505 20TH ST, Rock Valley, IA 51247
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Oscar Health, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Doris A Wallenburg Lmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688989262
PECOS Enrollment IDI20150811004624
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.

Medicare Billing Reassignment

Medicare enrollment records show Doris Wallenburg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Solutions Services, Inc.
18 mi
Community/Behavioral Health
4290 JAY AVE
Orange City, IA 51041
  • Reassigned Medicare billing, Iowa enrollment
  • 7 clinicians in this Medicare group
NPI 1891870374 (712) 898-1245

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51247 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.96 – $161.40
Typical copayment $0.00 (range $13.24 – $40.35)
Most-billed visit code NA
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Doris Wallenburg's NPI number?

The NPI number for Doris Wallenburg is 1902109994. It was assigned to this individual provider in the NPPES registry on December 13, 2010.

Where is Doris Wallenburg located?

Doris Wallenburg practices at 1505 20th St, Rock Valley, IA 51247. The listed phone number is (712) 541-3836.

What is Doris Wallenburg's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Doris Wallenburg enrolled in Medicare?

Yes. Doris Wallenburg is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Doris Wallenburg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Doris Wallenburg reassigns Medicare benefits to Family Solutions Services, Inc. (Orange City, IA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Doris Wallenburg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Doris Wallenburg accept?

Health plans from Avera Health Plans, Oscar Health, Oscar Insurance Company, UnitedHealthcare and Wellmark Health Plan of Iowa, Inc. list Doris Wallenburg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Doris Wallenburg was last updated on December 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.