Active NPI
Family Development Services, Inc.
- Clinical Social Worker
- Iowa City, IA
National Provider Identifier
1104989839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 02225
- Legal business name
- FAMILY DEVELOPMENT SERVICES, INC.
- Practice address
- 308 E Burlington St # 196
Iowa City, IA 52240-1602 - Phone
- (319) 321-7490
- NPI assigned
- Dec 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- F. Sammet
- Title
- Ceo
- Phone
- (319) 321-7490
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 02225 | IA | Primary |
Addresses
Primary practice location
308 E Burlington St # 196
Iowa City, IA 52240-1602
Mailing address
308 E Burlington St # 196
Iowa City, IA 52240-1602
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1011957 | Other | IA | IME |
| 00008649 | Medicaid | IA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166227200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1104989839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 E BURLINGTON ST # 196",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522401602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 E BURLINGTON ST # 196",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522401602",
"telephone_number": "319-321-7490"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY DEVELOPMENT SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SAMMET",
"authorized_official_first_name": "F.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "319-321-7490"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "02225",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IME",
"identifier": "1011957",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00008649",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.