Active NPI
Evelyn Lee Conrad, LMSW
- Clinical Social Worker
- Leon, IA
National Provider Identifier
1821324641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 06727
- Practice address
- 302 NE 14TH St
Leon, IA 50144-1206 - Phone
- (641) 446-2383
- Fax
- (641) 446-2382
- NPI assigned
- Oct 29, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
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.
-
- Federally Qualified Health Center (FQHC)
- Bedford, IA
- NPI 1417768565
-
- Federally Qualified Health Center (FQHC)
- Osceola, IA
- NPI 1124525647
-
- Federally Qualified Health Center (FQHC)
- Albia, IA
- NPI 1194941542
-
- Federally Qualified Health Center (FQHC)
- Mount Ayr, IA
- NPI 1396384657
-
- Federally Qualified Health Center (FQHC)
- Chariton, IA
- NPI 1568672939
-
- Federally Qualified Health Center (FQHC)
- Corydon, IA
- NPI 1669697074
-
- Federally Qualified Health Center (FQHC)
- Centerville, IA
- NPI 1710102132
-
- Federally Qualified Health Center (FQHC)
- Knoxville, IA
- NPI 1790364875
-
- Federally Qualified Health Center (FQHC)
- Lamoni, IA
- NPI 1922294362
-
- Federally Qualified Health Center (FQHC)
- Princeton, MO
- NPI 1366949877
-
- Federally Qualified Health Center (FQHC)
- Bethany, MO
- NPI 1699334805
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Infinity Health
Practice addresses (Care Compare)
802 Ackerley St
Lamoni, IA 50140-1544
Phone (641) 784-7911
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140414002053 | IA | Practitioner - Clinical Social Worker | 5395977904 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06727 | IA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinity Health | Current | Accepting new patients | |
| Infinity Health | Current | Accepting new patients |
Locations
102 N Franklin St
#104
Corydon, IA 50060
Phone (641) 872-1750
302 NE 14th St
Leon, IA 50144
Phone (641) 446-2383
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 06727 | IA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
302 NE 14TH St
Leon, IA 50144-1206
Mailing address
302 NE 14TH St
Leon, IA 50144-1206
Phone (641) 446-2383
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06727 | Other | IA | LICENSE |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 9, 2011.
{
"created_epoch": "1256774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304899200000",
"number": "1821324641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 NE 14TH ST",
"city": "LEON",
"state": "IA",
"postal_code": "501441206",
"telephone_number": "641-446-2383",
"fax_number": "641-446-2382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 NE 14TH ST",
"city": "LEON",
"state": "IA",
"postal_code": "501441206",
"telephone_number": "641-446-2383",
"fax_number": "641-446-2382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONRAD",
"first_name": "EVELYN",
"middle_name": "LEE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-29",
"last_updated": "2011-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "06727",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "06727",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leon, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.