Nicole Marie Ferriss, LISW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

007264 Issued in IA

Practice address

2469 106TH St
Urbandale, IA 50322-3701

Phone

(515) 277-1050

Fax

(515) 277-1963

NPI assigned

Dec 7, 2011

Last updated

Jun 14, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Birchwood Wellness

  • Multi-Specialty Clinic/Center
  • Ankeny, IA
  • NPI 1124405055
  NPD (past)
• The Respite Connection, Inc.

  • Community/Behavioral Health Agency
  • Urbandale, IA
  • NPI 1558721241
  NPD (past)

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1154699973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2469 106TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503223701",
            "telephone_number": "515-277-1050",
            "fax_number": "515-277-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2469 106TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503223701",
            "telephone_number": "515-277-1050",
            "fax_number": "515-277-1963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 Hickman Rd",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503141505",
            "country_code": "US",
            "telephone_number": "515-282-2200",
            "fax_number": "515-282-7823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERRISS",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-07",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "007264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Stephan Farris, PHARMD
• Erin Feldmann, LISW
• Nicole Lynne Fellers
• Jennifer Lynn Fennessey, PT
• Jenny Brooke Ferguson, O.D.
• Sarah Rebecca Fetter, PHD, LP
• Melissa Jo Fiala, PHARM. D.
• Kelsey Finch
• Hollie Finders, ARNP
• Finding Hope Counseling

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; 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.