Individual provider Active NPI

Alisha Lundberg

  • Social Worker
  • Newton, IA
National Provider Identifier
1083968846
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
007280 Issued in IA
Practice address
1422 1St Ave E
Newton, IA 50208-4005
Phone
(641) 787-9133
Fax
(641) 787-9135
NPI assigned
Nov 1, 2012
Last updated
Nov 1, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 007280 IA Primary

Addresses

Primary practice location

1422 1St Ave E
Newton, IA 50208-4005

Mailing address

1680 Hwy. 1
Suite 3600
Fairfield, IA 52556-9114
Phone (641) 472-1684

Other identifiers 1

IdentifierTypeStateIssuer
1174520084OtherIAMBC OF IOWA

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
I20160622001035 IA Practitioner - Clinical Social Worker 4486945458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Iowa, RJ & L Carver College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Compass Clinical Associates PLLCGroup PAC ID 2062648017, 25 clinicians

Practice addresses (Care Compare)

2500 82ND PL
Urbandale, IA 50322-4329
Phone (515) 412-5112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Clinical Associates PLLC Social Worker CurrentSince May 23, 2018 Accepting new patients
Nurse in the House, Inc. Past Accepting new patients

Locations

2500 82nd Pl
Urbandale, IA 50322
Phone (515) 270-1344

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, 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": "1351728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1083968846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 HWY. 1",
            "address_2": "SUITE 3600",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525569114",
            "telephone_number": "641-472-1684",
            "fax_number": "641-472-4609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 1ST AVE E",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "502084005",
            "telephone_number": "641-787-9133",
            "fax_number": "641-787-9135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDBERG",
        "first_name": "ALISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-01",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "007280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MBC OF IOWA",
            "identifier": "1174520084",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, IA

Sources for this page

Verify at the official NPI Registry.