Individual provider Active NPI

Ann M.K. Lander, M.S.W.

  • Clinical Social Worker
  • Carroll, IA
National Provider Identifier
1144450206
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007357 Issued in IA
Practice address
608 N Court St
Suite B
Carroll, IA 51401-2432
Phone
(712) 792-2991
NPI assigned
Jul 22, 2009
Last updated
Jul 16, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 007357 IA
Clinical Social Worker 1041C0700X 007357 IA Primary

Addresses

Primary practice location

608 N Court St
Suite B
Carroll, IA 51401-2432

Mailing address

PO Box 794
Suite B
Carroll, IA 51401-0794
Phone (712) 792-2991

Other names 1

  • Debra Ann La Sorba Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007357IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
The Richmond Center PastSince Jun 26, 2008 Accepting new patients
Plains Area Mental Health, Inc. PastSince May 7, 2024 Accepting new patients
Community and Family Resources Past Accepting new patients
Plains Area Mental Health, Inc. Past Accepting new patients

Organizations & group practices 4

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": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1144450206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 794",
            "address_2": "SUITE B",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514010794",
            "telephone_number": "712-792-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 N COURT ST",
            "address_2": "SUITE B",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514012432",
            "telephone_number": "712-792-2991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDER",
        "first_name": "ANN",
        "middle_name": "M.K.",
        "name_prefix": "Mrs.",
        "credential": "M.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-22",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IA",
            "license": "007357",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "007357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "LA SORBA",
            "middle_name": "ANN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Carroll, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.