Individual provider Active NPI

Michael R Steele, LISW

  • School Social Worker
  • Mt Pleasant, IA
National Provider Identifier
1962695932
Registry record updated Oct 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
ISW 00222 Issued in IA
Practice address
1405 N Broadway St
Mt Pleasant, IA 52641-2875
Phone
(319) 385-2910
Fax
(319) 385-2913
NPI assigned
Aug 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ISW 00222 IA
School Social Worker 1041S0200X ISW 00222 IA Primary

Addresses

Primary practice location

1405 N Broadway St
Mt Pleasant, IA 52641-2875

Mailing address

PO Box 244
Morning Sun, IA 52640-0244
Phone (319) 385-2910

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

LicenseStateTypeSpecialty
ISW 00222IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Enterprise LLC Clinical Past Accepting new patients

Organizations & group practices 1

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": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193443200000",
    "number": "1962695932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 244",
            "city": "MORNING SUN",
            "state": "IA",
            "postal_code": "526400244",
            "telephone_number": "319-385-2910",
            "fax_number": "319-385-2913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 N BROADWAY ST",
            "city": "MT PLEASANT",
            "state": "IA",
            "postal_code": "526412875",
            "telephone_number": "319-385-2910",
            "fax_number": "319-385-2913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEELE",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "ISW 00222",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "IA",
            "license": "ISW 00222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.

Verify at the official NPI Registry.