Individual provider Active NPI

Erika Smith

  • Clinical Social Worker
  • Ankeny, IA
National Provider Identifier
1245649540
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1609 N Ankeny Blvd Ste 120
Ankeny, IA 50023-4112
Phone
(515) 681-2610
NPI assigned
Aug 12, 2014
Last updated
Feb 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1609 N Ankeny Blvd Ste 120
Ankeny, IA 50023-4112

Mailing address

1609 N Ankeny Blvd Ste 120
Ankeny, IA 50023-4112
Phone (515) 681-2610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240502001738 IA Practitioner - Clinical Social Worker 8325488711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Erika Smith, Lisw, LLCGroup PAC ID 3072953462, 3 clinicians

Practice addresses (Care Compare)

1609 N Ankeny Blvd
Suite 120
Ankeny, IA 50023-4112
Phone (515) 681-2610

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Erika Smith, Lisw, LLC Clinical CurrentSince Mar 4, 2024 Accepting new patients

Locations

1609 N Ankeny Blvd
Ste 120
Ankeny, IA 50023
Phone (515) 635-5016

Interoperability endpoints

  • Direct secure messaging: erica.smith@waverly.eclinicaldirectplus.com

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, 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": "1407801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1245649540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 N ANKENY BLVD STE 120",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234112",
            "telephone_number": "515-681-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 N ANKENY BLVD STE 120",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234112",
            "telephone_number": "515-681-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ERIKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-12",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

Verify at the official NPI Registry.