Organization Active NPI

Family Empowerment Services, Inc

  • Social Worker
  • Davenport, IA
National Provider Identifier
1093942856
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
FAMILY EMPOWERMENT SERVICES, INC
Practice address
1706 Brady St Ste 206
Davenport, IA 52803-4708
Phone
(563) 320-7050
Fax
(563) 424-5453
NPI assigned
Jun 18, 2009
Last updated
Oct 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Authorized official

Name
Lauren Green
Title
Office Manager
Phone
(563) 320-7050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU Primary

Addresses

Primary practice location

1706 Brady St Ste 206
Davenport, IA 52803-4708

Mailing address

1706 Brady St Ste 206
Davenport, IA 52803-4708
Phone (563) 320-7050

Other practice location 1

810 Main St
Muscatine, IA 52761-1848
Phone (563) 579-7790

Other identifiers 1

IdentifierTypeStateIssuer
0204508MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140924002427 IA Part B Supplier - Clinic/Group Practice 1355560343 Receives reassigned benefits from 6 practitioners
Practice locations: Muscatine, IA; Davenport, IA

National Provider Directory

National Provider Directory

Locations

1706 Brady St
Ste 206
Davenport, IA 52803
Phone (563) 320-7050

312 Iowa Ave
Muscatine, IA 52761
Phone (563) 264-8506

810 Main St
Muscatine, IA 52761
Phone (563) 320-7050

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1093942856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 BRADY ST STE 206",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528034708",
            "telephone_number": "563-320-7050",
            "fax_number": "563-424-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 BRADY ST STE 206",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528034708",
            "telephone_number": "563-320-7050",
            "fax_number": "563-424-5453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 Main St",
            "address_purpose": "LOCATION",
            "city": "Muscatine",
            "state": "IA",
            "postal_code": "527611848",
            "country_code": "US",
            "telephone_number": "563-579-7790",
            "fax_number": "563-424-5453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY EMPOWERMENT SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-18",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "563-320-7050"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0204508",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.