Alyssa Maria Prohaski, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

007222 Issued in IA

Practice address

1112 Mobile St
Waterloo, IA 50703-3238

Phone

(319) 290-6001

NPI assigned

Nov 11, 2008

Last updated

Jul 5, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grit and Grace Wellness Therapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waterloo, IA
  • NPI 1215890090
  Medicare reassignment NPD Authorized official
• Transcend Mind-Body Wellness, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cedar Falls, IA
  • NPI 1326526641
  Medicare reassignment
• Mitchell County Memorial Hospital

  dba Mitchell County Regional Health Center

  • Family Medicine Physician
  • Osage, IA
  • NPI 1154487544
  NPD
• Mitchell County Memorial Hospital

  dba Mitchell County Regional Health Center

  • Certified Registered Nurse Anesthetist
  • Osage, IA
  • NPI 1407925522
  NPD

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467676800000",
    "number": "1659525160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5617 ROCHELLE DR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507019562",
            "telephone_number": "319-290-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 MOBILE ST",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507033238",
            "telephone_number": "319-290-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROHASKI",
        "first_name": "ALYSSA",
        "middle_name": "MARIA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-11",
        "last_updated": "2016-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW30669",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "007222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Stephen Pranger, MD
• Premier Dermatology, LTD.
• Brieanna Priebe
• Joshua Priebe
• Professional Compounding Center of Iowa, Inc. (Greenwood Compounding Pharmacy)
• Mary Susan Pruzinsky, MD
• Reed A Pryor, DC
• Psychiatric Associates of Northeast Iowa PC
• Michael John Puk, MD
• Steven Gustave Punke, M.D.

• Social Worker in Waterloo, IA
• Providers in Waterloo, 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 5, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.