Individual provider Active NPI

Elizabeth Breen, LMSW

  • Clinical Social Worker
  • Cedar Rapids, IA
National Provider Identifier
1245787142
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
008386 Issued in IA
Practice address
520 11TH St NW
Cedar Rapids, IA 52405-3811
Phone
(319) 398-3562
Fax
(319) 398-3501
NPI assigned
Sep 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 008386 IA Primary

Addresses

Primary practice location

520 11TH St NW
Cedar Rapids, IA 52405-3811

Mailing address

520 11TH St NW
Cedar Rapids, IA 52405-3811
Phone (319) 398-3562

Other identifiers 1

IdentifierTypeStateIssuer
0074575MedicaidIA

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
I20190109001753 IA Practitioner - Clinical Social Worker 4981940103 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Abbe Center for Community Mental Health, Inc CurrentSince Nov 26, 2018 Accepting new patients
Beyond the Couch LLC Current Accepting new patients
Abbe Management Corp CurrentSince Feb 18, 2019 Accepting new patients
Sckic, Inc. Clinical Current Accepting new patients
Abbe Center for Community Mental Health, Inc CurrentSince Nov 26, 2018 Accepting new patients

Locations

615 5th St SE
Cedar Rapids, IA 52401

3150 E Ave NW
Cedar Rapids, IA 52405
Phone (319) 390-2970

520 11th St NW
Cedar Rapids, IA 52405
Phone (319) 297-3228

1510 Boyson Rd
Hiawatha, IA 52233
Phone (319) 396-1066

740 N 15th Ave
Ste A
Hiawatha, IA 52233

Organizations & group practices 5

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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abbe Management Corp 15 clinicians

Practice addresses (Care Compare)

1510 Boyson Rd
Hiawatha, IA 52233-2310
Phone (319) 396-1066

NPI Registry JSON

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1245787142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 11TH ST NW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524053811",
            "telephone_number": "319-398-3562",
            "fax_number": "319-398-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 11TH ST NW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524053811",
            "telephone_number": "319-398-3562",
            "fax_number": "319-398-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREEN",
        "first_name": "ELIZABETH",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-08",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "008386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0074575",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.