Social Outreach Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SOCIAL OUTREACH SERVICES, INC.

Practice address

1224 S Gilbert St
Iowa City, IA 52240-4506

Phone

(319) 855-2744

NPI assigned

Aug 7, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Florence Titilayo Ejiwale

Title

Executive Director

Phone

(319) 855-2744

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375833600000",
    "number": "1952733347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 S GILBERT ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522404506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 S GILBERT ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522404506",
            "telephone_number": "319-855-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIAL OUTREACH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-07",
        "last_updated": "2013-08-07",
        "status": "A",
        "authorized_official_last_name": "EJIWALE",
        "authorized_official_first_name": "FLORENCE",
        "authorized_official_middle_name": "TITILAYO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "319-855-2744",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01025022017006800",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Lynn Snyder, RN ADN
• Olivia Snyder, MD
• Peter M Snyder, MD
• Jaclyn Renee Snyders, PHARMD
• Cheryl Sobaski, MS
• Shreya Sodhani
• John K Soenen, DC
• Abdullah Sohail, M.D.
• Elliott H Sohn
• Sojourner Psychotherapy PLC

• Community/Behavioral Health Agency in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Community/Behavioral Health Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; 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.