Annika Kristine Omelia, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

007439 Issued in IA

Practice address

1510 E Rusholme St
Davenport, IA 52803-2463

Phone

(563) 359-6633

Fax

(563) 359-5261

NPI assigned

Mar 20, 2012

Last updated

Nov 1, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Sep 13, 2021 through Sep 13, 2027

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Quad City Psychotherapy, PLLC

  • Clinical Social Worker
  • Rock Island, IL
  • NPI 1689219826
  NPD Authorized official
• Edgerton Women's Health Center, Inc.

  • Specialist
  • Davenport, IA
  • NPI 1841386166
  Authorized official Same address or phone
• Edgerton Womens Health Center

  • Women's Health Nurse Practitioner
  • Davenport, IA
  • NPI 1407908924
  Authorized official Same address or phone

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383264000000",
    "number": "1861767022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 E RUSHOLME ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032463",
            "telephone_number": "563-359-6633",
            "fax_number": "563-359-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 E RUSHOLME ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032463",
            "telephone_number": "563-359-6633",
            "fax_number": "563-359-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMELIA",
        "first_name": "ANNIKA",
        "middle_name": "KRISTINE",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-20",
        "last_updated": "2013-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "007439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William E. Olson, M.D.
• Omaha Vamc
• Omaha Vamc
• Majdi A Omar, MD
• Muna Majdi Omar, DPT
• One Strong Woman Therapy, LLC
• Paulette Ong, PA-C
• Cambria Onick, M.S.
• Onsite Neonatal Iowa PC
• Open MRI of Davenport. L.L.C. (Nydic Open MRI of America-Davenport)

• Clinical Social Worker in Davenport, IA
• Providers in Davenport, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.