Individual provider Active NPI

Erin Feldmann, LISW

  • Clinical Social Worker
  • Urbandale, IA
National Provider Identifier
1053764746
Registry record updated Nov 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
04209 Issued in IA
Practice address
11333 Aurora Ave
Urbandale, IA 50322-7908
Phone
(515) 557-3100
Fax
(515) 557-3126
NPI assigned
Jul 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2016

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 04209 IA Primary

Addresses

Primary practice location

11333 Aurora Ave
Urbandale, IA 50322-7908

Mailing address

11333 Aurora Ave
Urbandale, IA 50322-7908
Phone (515) 557-3100

Other identifiers 1

IdentifierTypeStateIssuer
1194753863MedicaidIA

Other names 1

  • Erin Glenn Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1053764746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11333 AURORA AVE",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503227908",
            "telephone_number": "515-557-3100",
            "fax_number": "515-557-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11333 AURORA AVE",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503227908",
            "telephone_number": "515-557-3100",
            "fax_number": "515-557-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDMANN",
        "first_name": "ERIN",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "04209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194753863",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "GLENN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Urbandale, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.