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Deactivated NPI 1700985603 Deactivated / Inactive NPI Male Practitioner

Kenneth Paul Wernimont , MSW LISW

Social Worker • Waterloo, IA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kenneth Wernimont has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 21, 2006
NPI Deactivation Date March 07, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Kenneth Wernimont, MSW LISW was a registered Social Worker practicing in Waterloo, IA. Throughout an active medical career spanning 16 years, Kenneth Wernimont provided care at the practice location at 146 W DALE until profile deactivation on 2022-03-07.

Historical Medicare Part B clinical services included psychotherapy. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

146 W Dale
Ste 101

Waterloo, IA 50703

Telephone 3192333351
Fax 3192353132
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Waterloo, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.9 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
43 Specialists

Practicing in Waterloo, IA (1187 Statewide)

Telehealth Adoption Rate
4.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90834 Psychotherapy, 45 minutes
250 32 $226.00 $74.57
90832 Psychotherapy, 30 minutes
51 17 $172.00 $56.44

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License IA 00154

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Dieter Boxmann , ARNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1023178548

Advanced Registered Nurse Practitioner

Dr. Raja Akbar , MD

Psychiatry & Neurology - Psychiatry

NPI 1073547105

Doctor of Medicine (M.D.)

Joellen Kubik , ARNP, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1154637692

Advanced Registered Nurse Practitioner, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Angela Woods , LISW

Social Worker

NPI 1295058113

Licensed Independent Social Worker

Dr. Patrick O'conner , PhD

Psychologist - Clinical

NPI 1326147208

Doctor of Philosophy (Ph.D.)

Dr. Mohammad Afridi , MD

Psychiatry & Neurology - Psychiatry

NPI 1417093071

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
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NPI Profile Deactivated March 07, 2022

Record deactivated on March 07, 2022

NPI Profile Active March 14, 2017

NPI status registered as active in NPPES database

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Updated Practice Location March 14, 2017

Registered at 146 W DALE ST, STE 101, WATERLOO, IA 507031901 (Tel: 3192333351)

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Updated Business Mailing Address March 14, 2017

Registered at 146 W DALE ST, STE 101, WATERLOO, IA 507031901 (Tel: 3192333351)

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Provider Name / Credentials Updated March 14, 2017

Recorded as KENNETH WERNIMONT, MSW LISW

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2017

Social Worker (License #00154 in IA)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 146 W DALE, STE 101, WATERLOO, IA 50703 (Tel: 3192333351)

📍
Updated Business Mailing Address July 08, 2007

Registered at 146 W DALE, STE 101, WATERLOO, IA 50703 (Tel: 3192333351)

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Provider Name / Credentials Updated July 08, 2007

Recorded as KENNETH WERNIMONT, MSW LISW

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Social Worker (License #00154 in IA)

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Initial NPI Registration & Enumeration September 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700985603
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 21, 2006
Last Update: July 08, 2007
Deactivation Date: March 07, 2022

Mailing Address

146 W Dale, Ste 101

Waterloo, IA 50703

Phone: 3192333351

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.