Emily K Allaire, LISW, CADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

007059 Issued in IA

Practice address

615 Grant Ave
Waterloo, IA 50702-2111

Phone

(319) 610-1116

NPI assigned

Jan 13, 2009

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 1, 2024 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Black Hawk-Grundy Mental Health Center Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waterloo, IA
  • NPI 1316944598
  NPD (past)

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1083851083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 GRANT AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507022111",
            "telephone_number": "319-610-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 GRANT AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507022111",
            "telephone_number": "319-610-1116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3251 W 9th St",
            "address_purpose": "LOCATION",
            "city": "Waterloo",
            "state": "IA",
            "postal_code": "507025310",
            "country_code": "US",
            "telephone_number": "319-234-2893",
            "fax_number": "319-234-0354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLAIRE",
        "first_name": "EMILY",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "LISW, CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-13",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "007059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0074435",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judee Marie Alexander, LISW
• Alexandria McNamee LLC
• Alexandria Urology P.C.
• Kinza Ali, M.D
• Sadia Ali, M.D.
• Laurie Beth Allbaugh, R.PH.
• Allen Memorial Hospital
• Allen Memorial Hospital
• Allen Memorial Hospital Corp
• Allen Memorial Hospital Corporation

• All providers in Waterloo, IA
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.