Active NPI
Sally Anne McLuen-Felfhacker, L.I.S.W.
- Clinical Social Worker
- Creston, IA
National Provider Identifier
1932230315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 725
- Practice address
- 1001 E Summit St
Creston, IA 50801-2746 - Phone
- (641) 782-9625
- Fax
- (641) 782-9625
- NPI assigned
- Mar 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 725 | IA | Primary |
Addresses
Primary practice location
1001 E Summit St
Creston, IA 50801-2746
Mailing address
1001 E Summit St
P.O. Box 273
Creston, IA 50801-2746
Phone (641) 782-9625
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 725 | Other | IA | L.I.S.W. LICENSE NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 725 | IA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932230315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 E SUMMIT ST",
"address_2": "P.O. BOX 273",
"city": "CRESTON",
"state": "IA",
"postal_code": "508012746",
"telephone_number": "641-782-9625",
"fax_number": "641-782-9625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 E SUMMIT ST",
"city": "CRESTON",
"state": "IA",
"postal_code": "508012746",
"telephone_number": "641-782-9625",
"fax_number": "641-782-9625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLUEN-FELFHACKER",
"first_name": "SALLY",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "L.I.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "725",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L.I.S.W. LICENSE NUMBER",
"identifier": "725",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Creston, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.