Active NPI
Blair C Farris, LSW
- Clinical Social Worker
- Mt Pleasant, IA
National Provider Identifier
1669295689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 105070
- Practice address
- 605 E Winfield Ave
Mount Pleasant, IA 52641-2928 - Phone
- (319) 385-8051
- NPI assigned
- Nov 7, 2024
- Last updated
- May 14, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 105070 | IA | Primary |
Addresses
Primary practice location
605 E Winfield Ave
Mount Pleasant, IA 52641-2928
Mailing address
605 E Winfield Ave
Mount Pleasant, IA 52641-2928
Phone (319) 385-8051
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105070 | IA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimae Lifeservices, Inc, | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778716800000",
"number": "1669295689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 E WINFIELD AVE",
"city": "MOUNT PLEASANT",
"state": "IA",
"postal_code": "526412928",
"telephone_number": "319-385-8051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 E WINFIELD AVE",
"city": "MOUNT PLEASANT",
"state": "IA",
"postal_code": "526412928",
"telephone_number": "319-385-8051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRIS",
"first_name": "BLAIR",
"middle_name": "C",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-07",
"last_updated": "2026-05-14",
"certification_date": "2026-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "105070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mt Pleasant, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.