Farah A Ali, MSW
Individual provider Active NPI Clinical Social Worker · Mishawaka, IN
NPI 1790329068 · NPPES record last updated Feb 13, 2024
Key facts
- NPI
- 1790329068
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 105935 (TX)
- Practice address
- 1411 Lincolnway W
Mishawaka, IN 46544-1626 - Phone
- (574) 533-1234
- Fax
- (574) 537-2652
- NPI assigned
- Oct 30, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in IN, TX, MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220325001877 | IN | Practitioner - Clinical Social Worker | 5799170890 | Reassigns benefits to 1 organization |
| I20231011000895 | TX | Practitioner - Clinical Social Worker | 5799170890 | Reassigns benefits to 1 organization |
| I20240305001590 | MN | Practitioner - Clinical Social Worker | 5799170890 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Clinical | Current |
Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646
2355 Highway 36 W
Ste 400
Saint Paul, MN 55113
Phone (612) 460-1597
3753 Howard Hughes Pkwy
Ste 200
Las Vegas, NV 89169
Phone (702) 919-6580
700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Clinical Social Worker | 1041C0700X | 105935 | TX | Yes |
Addresses
Primary practice location
1411 Lincolnway W
Mishawaka, IN 46544-1626
Mailing address
PO Box 809
Goshen, IN 46527-0809
Phone (574) 533-1234
Other providers in Mishawaka, IN
- Amelle Christine Aldurra
- Aledade TK Mi, P.C.
- Dona Alex
- David Alexander
- Lydia Colette Alexander
- Mohammad Adel Ali
- Mushira Ali
- Alick'S Home Medical Equipment, Inc
- Adeela Masood Alizai
- Alyssa Renee Allen
All providers in Mishawaka, IN · Clinical Social Worker in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.