Individual provider Active NPI

Sabrina Olivia Dedore, LMSW

  • Social Worker
  • Iowa City, IA
National Provider Identifier
1649937475
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
081547 Issued in IA
Practice address
1039 Arthur St
Iowa City, IA 52240-6665
Phone
(319) 338-7884
NPI assigned
Nov 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 081547 IA Primary

Addresses

Primary practice location

1039 Arthur St
Iowa City, IA 52240-6665

Mailing address

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

Other names 1

  • Sabrina Olivia Spikes Former name

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
I20240315000878 IA Practitioner - Clinical Social Worker 7315383015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Iowa, RJ & L Carver College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Abbe Center for Community Mental Health IncGroup PAC ID 5890684336, 40 clinicians

Practice addresses (Care Compare)

1039 Arthur St
Iowa City, IA 52240-6665
Phone (319) 398-7884

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
081547IAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Abbe Center for Community Mental Health, Inc CurrentSince Mar 1, 2024 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Abbe Center for Community Mental Health, Inc CurrentSince Mar 1, 2024 Accepting new patients

Locations

615 5th St SE
Cedar Rapids, IA 52401

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

740 N 15th Ave
Ste A
Hiawatha, IA 52233

1039 Arthur St
Iowa City, IA 52240
Phone (319) 338-7884

Interoperability endpoints

  • Direct secure messaging: sdedore1021310@direct.unitypoint.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1649937475",
    "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": "1039 ARTHUR ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522406665",
            "telephone_number": "319-338-7884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEDORE",
        "first_name": "SABRINA",
        "middle_name": "OLIVIA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-29",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "081547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SABRINA",
            "last_name": "SPIKES",
            "middle_name": "OLIVIA",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.