Individual provider Active NPI

Susan Elizabeth Price Saylor, LCSW

  • Clinical Social Worker
  • Ankeny, IA
National Provider Identifier
1043300692
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2591 Issued in IA
Practice address
2525 N Ankeny Blvd
Ste 113
Ankeny, IA 50023-4708
Phone
(515) 289-9136
Fax
(515) 289-9139
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

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 2591 IA Primary

Addresses

Primary practice location

2525 N Ankeny Blvd
Ste 113
Ankeny, IA 50023-4708

Mailing address

2525 N Ankeny Blvd
Ste 113
Ankeny, IA 50023-4708
Phone (406) 563-2859

Other identifiers 1

IdentifierTypeStateIssuer
2703955MedicaidIA

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
I20110623000224 IA Practitioner - Clinical Social Worker 0547324527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2525 N Ankeny Blvd
Ankeny, IA 50023-4708
Phone (515) 289-9136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
741MTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Deer Oaks Geriatric Services P C PastSince Jan 23, 2023 Accepting new patients

Organizations & group practices 2

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1043300692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 N ANKENY BLVD",
            "address_2": "STE 113",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234708",
            "telephone_number": "406-563-2859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 N ANKENY BLVD",
            "address_2": "STE 113",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234708",
            "telephone_number": "515-289-9136",
            "fax_number": "515-289-9139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE SAYLOR",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "2591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2703955",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

Verify at the official NPI Registry.