Alyssa Marie Caldbeck, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

072126 Issued in IA

Practice address

2600 72ND St
Suite a
Urbandale, IA 50322-4724

Phone

(515) 261-3719

Fax

(866) 292-7259

NPI assigned

Jun 21, 2014

Last updated

Feb 19, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1403308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1083029748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 72ND ST",
            "address_2": "SUITE A",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503224724",
            "telephone_number": "515-261-3719",
            "fax_number": "866-292-7259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 72ND ST",
            "address_2": "SUITE A",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503224724",
            "telephone_number": "515-261-3719",
            "fax_number": "866-292-7259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDBECK",
        "first_name": "ALYSSA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-21",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "072126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Urbandale, IA
• Providers in Urbandale, IA by specialty
• Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.