Individual provider Active NPI

Laurie A Fein, LISW

  • Social Worker
  • Ankeny, IA
National Provider Identifier
1902838261
Registry record updated Nov 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
01501 Issued in IA
Practice address
412 NW Irvinedale Drive
Ankeny, IA 50023-8962
Phone
(515) 314-5655
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 01501 IA Primary

Addresses

Primary practice location

412 NW Irvinedale Drive
Ankeny, IA 50023-8962

Mailing address

412 NW Irvinedale Dr
Ankeny, IA 50023-8962
Phone (515) 964-1733

Other identifiers 2

IdentifierTypeStateIssuer
45694OtherIAWELLMARK
1262147MedicaidIA

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
I20040601000571 IA Practitioner - Clinical Social Worker 0345221719 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

412 NW Irvinedale Dr
Ankeny, IA 50023-8962
Phone (515) 964-1733

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01501IAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Evolutionz Inc Social Worker CurrentSince Apr 20, 2004 Accepting new patients
Womens Counseling Center Inc Social Worker CurrentSince Apr 16, 2008 Accepting new patients
The Richmond Center PastSince Jun 26, 2008 Accepting new patients
West Central Mental Health Center, Inc. Past Accepting new patients
Community and Family Resources Past Accepting new patients

Organizations & group practices 5

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511049600000",
    "number": "1902838261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 NW IRVINEDALE DR",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500238962",
            "telephone_number": "515-964-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 NW IRVINEDALE DRIVE",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500238962",
            "telephone_number": "515-314-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEIN",
        "first_name": "LAURIE",
        "middle_name": "A",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2017-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "01501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "45694",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1262147",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

Verify at the official NPI Registry.