Individual provider Active NPI

Daryl Byrd, LISW

  • Clinical Social Worker
  • North Liberty, IA
National Provider Identifier
1003394016
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
091434 Issued in IA
Practice address
555 Cameron Way # 2
North Liberty, IA 52317-4704
Phone
(319) 804-9312
NPI assigned
Aug 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 091434 IA Primary

Addresses

Primary practice location

555 Cameron Way # 2
North Liberty, IA 52317-4704

Mailing address

555 Cameron Way # 2
North Liberty, IA 52317-4704
Phone (319) 804-9312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221121002628 IA Practitioner - Clinical Social Worker 5991173080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alli Center LLC 12 clinicians

Practice addresses (Care Compare)

555 Cameron Way Unit
2 Alli Center North Liberty
North Liberty, IA 52317-4704
Phone (319) 804-9312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alli Center LLC Clinical CurrentSince Nov 16, 2022 Accepting new patients

Locations

1150 5th St
Ste 270
Iowa City, IA 52241
Phone (319) 804-9312

555 Cameron Way
Unit 2
North Liberty, IA 52317
Phone (319) 800-9046

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1003394016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 CAMERON WAY # 2",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523174704",
            "telephone_number": "319-804-9312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 CAMERON WAY # 2",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523174704",
            "telephone_number": "319-804-9312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "DARYL",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-01",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "091434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Liberty, IA

Sources for this page

Verify at the official NPI Registry.