Parent Enrichment Program

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LISW01215 Issued in IA

Legal business name

PARENT ENRICHMENT PROGRAM

Practice address

9339 Lakewood Circle
Norwalk, IA 50211-1867

Phone

(515) 250-9759

Fax

(515) 285-4876

NPI assigned

Apr 13, 2007

Last updated

Jul 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Catherine Ann Vickroy, LISW

Title

President Lisw

Phone

(515) 250-9759

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1114141579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9339 LAKEWOOD CIRCLE",
            "city": "NORWALK",
            "state": "IA",
            "postal_code": "502111867",
            "telephone_number": "515-250-9759",
            "fax_number": "515-285-4876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9339 LAKEWOOD CIRCLE",
            "city": "NORWALK",
            "state": "IA",
            "postal_code": "502111867",
            "telephone_number": "515-250-9759",
            "fax_number": "515-285-4876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARENT ENRICHMENT PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "VICKROY",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT LISW",
        "authorized_official_telephone_number": "515-250-9759",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "LISW01215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID MENTAL HEALTH WAIVER",
            "identifier": "0472548",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0733923",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0472548",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Opco Norwalk, Ia, LLC (Norwalk Nursing and Rehabilitation Center)
• Optometric Associates of Warren County PC
• Amy Mae Ormord
• Daniel Scott Oswald, DO
• Pamela J Young, OD PLC
• Carmen C Pesante
• Beatriz Reis Pescatore, LMFT
• Sarah Marie Petullo, SLP
• Tonna Phiv, COTA-L
• Physiotherapy Associates, Inc. (Select Physical Therapy)

• Social Worker in Norwalk, IA
• Providers in Norwalk, IA by specialty
• Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.