Organization Active NPI

Embrace Life

  • Clinical Social Worker
  • Ames, IA
National Provider Identifier
1225290299
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06044 Issued in IA
Legal business name
EMBRACE LIFE
Practice address
2521 University Blvd
Suite 121
Ames, IA 50010-8629
Phone
(515) 291-1499
Fax
(515) 292-2184
NPI assigned
Jun 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Cathy S Nelson, LISW
Title
Co-Director/Owner
Phone
(515) 291-1499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 06044 IA Primary

Addresses

Primary practice location

2521 University Blvd
Suite 121
Ames, IA 50010-8629

Mailing address

2521 University Blvd
Suite 121
Ames, IA 50010-8629
Phone (515) 291-1499

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1225290299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 UNIVERSITY BLVD",
            "address_2": "SUITE 121",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500108629",
            "telephone_number": "515-291-1499",
            "fax_number": "515-292-2184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 UNIVERSITY BLVD",
            "address_2": "SUITE 121",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500108629",
            "telephone_number": "515-291-1499",
            "fax_number": "515-292-2184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACE LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CO-DIRECTOR/OWNER",
        "authorized_official_telephone_number": "515-291-1499",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "06044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.