Organization Active NPI

McColley Nicola Therapy Services, Inc

  • Clinical Social Worker
  • Fort Dodge, IA
National Provider Identifier
1891115432
Registry record updated Apr 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
00661 Issued in IA
Legal business name
MCCOLLEY NICOLA THERAPY SERVICES, INC
Practice address
318 7TH Ave N
Fort Dodge, IA 50501-3122
Phone
(515) 573-3382
NPI assigned
Apr 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2014

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

Authorized official

Name
Arlene M Nicola, MSW, LISW
Title
President
Phone
(515) 573-3382

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 00661 IA Primary

Addresses

Primary practice location

318 7TH Ave N
Fort Dodge, IA 50501-3122

Mailing address

318 7TH Ave N
Fort Dodge, IA 50501-3122

Other identifiers 1

IdentifierTypeStateIssuer
1649321811OtherNPPES (NPI)

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398124800000",
    "number": "1891115432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 7TH AVE N",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505013122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 7TH AVE N",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505013122",
            "telephone_number": "515-573-3382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCOLLEY NICOLA THERAPY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-22",
        "last_updated": "2014-04-22",
        "status": "A",
        "authorized_official_last_name": "NICOLA",
        "authorized_official_first_name": "ARLENE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-573-3382",
        "authorized_official_credential": "MSW, LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "00661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES (NPI)",
            "identifier": "1649321811",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Dodge, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; 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.