Sara Erselius, LISW, RPT
Individual provider Active NPI Clinical Social Worker · Montezuma, IA
NPI 1619280419 · NPPES record last updated Jul 21, 2010
Key facts
- NPI
- 1619280419
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 06434 (IA)
- Practice address
- 705 E Main St
Montezuma, IA 50171-1043 - Phone
- (641) 226-2665
- NPI assigned
- Jul 21, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06434 | IA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 06434 | IA | Yes |
Addresses
Primary practice location
705 E Main St
Montezuma, IA 50171-1043
Mailing address
705 E Main St
Montezuma, IA 50171-1043
Phone (641) 226-2665
Other providers in Montezuma, IA
- Care Initiatives
- City of Montezuma
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- Diamond Life Health Care, Inc.
- Diamond Trail Dental PC
- Grinnell Regional Medical Center
- GRX Holdings LLC
- Jacqueline K Harris
- Heartland Pediatric Feeding Disorders Services
- Melinda Sue McNaul
All providers in Montezuma, IA · Clinical Social Worker in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.