Active NPI
Emilie Ellen McNace, LISW
- Clinical Social Worker
- Sac City, IA
National Provider Identifier
1013185180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6361
- Practice address
- 322 S 13TH St
Sac City, IA 50583-1910 - Phone
- (712) 662-3222
- Fax
- (712) 662-3329
- NPI assigned
- Feb 12, 2008
- Last updated
- Apr 14, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6361 | IA | Primary |
Addresses
Primary practice location
322 S 13TH St
Sac City, IA 50583-1910
Mailing address
322 S 13TH St
Sac City, IA 50583-1910
Phone (712) 662-3222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06361 | Other | IA | LISW LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6361 | IA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208131200000",
"number": "1013185180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 S 13TH ST",
"city": "SAC CITY",
"state": "IA",
"postal_code": "505831910",
"telephone_number": "712-662-3222",
"fax_number": "712-662-3329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 S 13TH ST",
"city": "SAC CITY",
"state": "IA",
"postal_code": "505831910",
"telephone_number": "712-662-3222",
"fax_number": "712-662-3329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNACE",
"first_name": "EMILIE",
"middle_name": "ELLEN",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-12",
"last_updated": "2008-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "6361",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LISW LICENSE",
"identifier": "06361",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sac City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.