Individual provider Active NPI

Lisa Yeary

  • Clinical Social Worker
  • Cedar Rapids, IA
National Provider Identifier
1841422912
Registry record updated Aug 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007347 Issued in IA
Practice address
520 11TH St NW
Cedar Rapids, IA 52405-3811
Phone
(319) 398-3562
Fax
(319) 398-3501
NPI assigned
Aug 21, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2009

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 007347 IA Primary

Addresses

Primary practice location

520 11TH St NW
Cedar Rapids, IA 52405-3811

Mailing address

520 11TH St NW
Cedar Rapids, IA 52405-3811
Phone (319) 398-3562

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
I20120308000103 IA Practitioner - Clinical Social Worker 0042479289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

575 Cameron Way
Suite a
North Liberty, IA 52317-4734
Phone (319) 626-2558

575 Cameron Way
Unit a
North Liberty, IA 52317-4704

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Imagine Therapy Solutions, PLC CurrentSince Nov 1, 2014 Accepting new patients
Cornerstone Brief Therapy Past Accepting new patients
Abbe Center for Community Mental Health, Inc Past Accepting new patients
Family Psychology Associates, P.C. Past Accepting new patients
Cornerstone Brief Therapy, Inc. Past Accepting new patients
Abbe Center for Community Mental Health, Inc Past Accepting new patients

Locations

575 Cameron Way
Ste A
North Liberty, IA 52317
Phone (319) 626-2558

Organizations & group practices 6

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": "1250812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250812800000",
    "number": "1841422912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 11TH ST NW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524053811",
            "telephone_number": "319-398-3562",
            "fax_number": "319-398-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 11TH ST NW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524053811",
            "telephone_number": "319-398-3562",
            "fax_number": "319-398-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEARY",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-21",
        "last_updated": "2009-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "007347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.