Individual provider Active NPI

Erin Helleso, LISW

  • Clinical Social Worker
  • Johnston, IA
National Provider Identifier
1790190163
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
100999 Issued in IA
Practice address
5619 NW 86TH St Ste 500
Johnston, IA 50131-2955
Phone
(515) 240-7285
NPI assigned
Jun 24, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 100999 IA Primary

Addresses

Primary practice location

5619 NW 86TH St Ste 500
Johnston, IA 50131-2955

Mailing address

900 NE Silkwood St
Grimes, IA 50111-2080
Phone (515) 326-0432

Other names 1

  • Erin McNamara 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
I20240904000313 IA Practitioner - Clinical Social Worker 7911446000 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33343MNMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Candor Recovery Services Incorporated Clinical CurrentSince Jun 24, 2024 Accepting new patients

Locations

5619 NW 86th St
Ste 500
Johnston, IA 50131
Phone (515) 240-7285

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1790190163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 NE SILKWOOD ST",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "501112080",
            "telephone_number": "515-326-0432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5619 NW 86TH ST STE 500",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312955",
            "telephone_number": "515-240-7285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLESO",
        "first_name": "ERIN",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-24",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "100999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "MCNAMARA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Johnston, IA

Sources for this page

Verify at the official NPI Registry.