Individual provider Active NPI

Megan Andera

  • Clinical Social Worker
  • Decorah, IA
National Provider Identifier
1083225130
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
99798 Issued in IA
Practice address
905 Montgomery St
Decorah, IA 52101-2325
Phone
(563) 382-3649
Fax
(563) 382-8183
NPI assigned
Aug 12, 2020
Last updated
Aug 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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 99798 IA Primary

Addresses

Primary practice location

905 Montgomery St
Decorah, IA 52101-2325

Mailing address

PO Box 349
Decorah, IA 52101-0349
Phone (563) 382-3649

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
I20230506000224 IA Practitioner - Clinical Social Worker 1759746258 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Counseling Associates of NE IowaGroup PAC ID 6800334186, 5 clinicians

Practice addresses (Care Compare)

806 Commerce Dr
Suite a
Decorah, IA 52101-2363
Phone (563) 419-4024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
99798IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Associates of NE Iowa CurrentSince Jun 29, 2024 Accepting new patients
Northeast Iowa Mental Health Center CurrentSince Apr 25, 2023 Accepting new patients
United Community Services, Inc. PastSince Aug 23, 2020 Accepting new patients

Locations

806 Commerce Dr
Ste A
Decorah, IA 52101
Phone (563) 387-8028

905 Montgomery St
Decorah, IA 52101
Phone (563) 382-3649

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1083225130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 349",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "521010349",
            "telephone_number": "563-382-3649",
            "fax_number": "563-382-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 MONTGOMERY ST",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "521012325",
            "telephone_number": "563-382-3649",
            "fax_number": "563-382-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERA",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "99798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decorah, IA

Sources for this page

Verify at the official NPI Registry.