Individual provider Active NPI

Shalea Schloss, MSW, LCSW, LMSW

  • Social Worker
  • Sioux City, IA
National Provider Identifier
1821850322
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
118868 Issued in IA
Practice address
701 Jackson St
Sioux City, IA 51105-1917
Phone
(712) 279-2548
NPI assigned
Jan 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6324 SD
Social Worker 104100000X 118868 IA Primary

Addresses

Primary practice location

701 Jackson St
Sioux City, IA 51105-1917

Mailing address

701 Jackson St
Sioux City, IA 51105-1917
Phone (712) 279-2548

Other names 1

  • Shalea Bridges Former name

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

LicenseStateTypeSpecialty
118868IAMDSocial Worker
6324SDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Iowa Hospital Corporation PastSince Feb 4, 2024 Accepting new patients
St Lukes Health Resources PastSince Feb 4, 2024 Accepting new patients

Organizations & group practices 2

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": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1821850322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 JACKSON ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511051917",
            "telephone_number": "712-279-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 JACKSON ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511051917",
            "telephone_number": "712-279-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLOSS",
        "first_name": "SHALEA",
        "credential": "MSW, LCSW, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SD",
            "license": "6324",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "118868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHALEA",
            "last_name": "BRIDGES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.