Alisa Nicole Smith, LISW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

082322 Issued in IA

Practice address

409 N. 4TH St.
Burlington, IA 52601

Phone

(319) 208-9648

Fax

(319) 208-8517

NPI assigned

Jul 14, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Alisa Nicole Johnson Former name

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

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Innovative Family Therapy & Play Therapy Center LLC

  • Marriage & Family Therapist
  • Burlington, IA
  • NPI 1497219653
  Medicare reassignment NPD

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1619320645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 N. 4TH ST. P.O. BOX 12",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "52601",
            "telephone_number": "319-208-9648",
            "fax_number": "319-208-8517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 N. 4TH ST.",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "52601",
            "telephone_number": "319-208-9648",
            "fax_number": "319-208-8517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALISA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-14",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "082322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISA",
            "last_name": "JOHNSON",
            "middle_name": "NICOLE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sliwinski Family Eyecare
• Daniel Ross Sliwinski, O.D.
• Sarah A Sliwinski, O.D.
• Jennifer Sloan, LMSW
• Smile Shoppe
• Mona Riley Smith, M.F.T.
• Southeast Iowa Area Agency on Aging, Inc.
• Southeast Iowa Open MRI
• Southeast Iowa Orthopedics & Sports Medicine PC
• Southeast Iowa Regional Medical Center, Inc.

• Social Worker in Burlington, IA
• Providers in Burlington, IA by specialty
• Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.