Active NPI
Adam Yack
- Social Worker
- Iowa City, IA
National Provider Identifier
1679289474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 081537
- Practice address
- 3 Thistle CT
Iowa City, IA 52240-6836 - Phone
- (319) 530-4973
- NPI assigned
- Jan 25, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 081537 | IA | Primary |
Addresses
Primary practice location
3 Thistle CT
Iowa City, IA 52240-6836
Mailing address
3 Thistle CT
Iowa City, IA 52240-6836
Phone (319) 530-4973
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 |
|---|---|---|---|
| 081537 | IA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674604800000",
"number": "1679289474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 THISTLE CT",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522406836",
"telephone_number": "319-530-4973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 THISTLE CT",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522406836",
"telephone_number": "319-530-4973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YACK",
"first_name": "ADAM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-01-25",
"last_updated": "2023-01-25",
"certification_date": "2023-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IA",
"license": "081537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.