Organization Active NPI

Family Development Services, Inc.

  • Clinical Social Worker
  • Iowa City, IA
National Provider Identifier
1104989839
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
02225 Issued in IA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1011957OtherIAIME
00008649MedicaidIA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.