Active NPI
Patricia Anderson Dunbar, MSW
- Clinical Social Worker
- Red Oak, IA
National Provider Identifier
1245219005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 02462
- Practice address
- 1000 N Broadway St
Suite C
Red Oak, IA 51566-1454 - Phone
- (712) 623-8180
- Fax
- (712) 623-8188
- NPI assigned
- Jan 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 02462 | IA | Primary |
Addresses
Primary practice location
1000 N Broadway St
Suite C
Red Oak, IA 51566-1454
Mailing address
1200 Highland Ave
Red Oak, IA 51566-1777
Phone (712) 623-5673
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2205179 | Medicaid | IA | |
| 25220 | Other | IA | WELLMARK |
| 11404436 | Other | IA | CAQH |
| 2091633 | Other | IA | CIGNA BEHAVIORAL HEALTH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 02462 | IA | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Willow Group, P.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1528182896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421625600000",
"number": "1245219005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 HIGHLAND AVE",
"city": "RED OAK",
"state": "IA",
"postal_code": "515661777",
"telephone_number": "712-623-5673",
"fax_number": "712-623-8188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N BROADWAY ST",
"address_2": "SUITE C",
"city": "RED OAK",
"state": "IA",
"postal_code": "515661454",
"telephone_number": "712-623-8180",
"fax_number": "712-623-8188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNBAR",
"first_name": "PATRICIA",
"middle_name": "ANDERSON",
"name_prefix": "Mrs.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-11",
"last_updated": "2015-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "02462",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2205179",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "25220",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11404436",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "2091633",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Red Oak, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.