Individual provider Active NPI

Angela Ayoub Shunnarah, M.S.W

  • Clinical Social Worker
  • West Des Moines, IA
National Provider Identifier
1962749705
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4298C Issued in AL
Practice address
6750 Westown Pkwy Ste 200-154
West Des Moines, IA 50266-7723
Phone
(515) 216-0679
NPI assigned
Jan 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801095155 MI
Clinical Social Worker 1041C0700X 113459 IA
Clinical Social Worker 1041C0700X 4298C AL Primary

Addresses

Primary practice location

6750 Westown Pkwy Ste 200-154
West Des Moines, IA 50266-7723

Mailing address

6750 Westown Pkwy Ste 200-154
West Des Moines, IA 50266-7723

Other names 1

  • Angela Ayoub Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4298CALMDClinical Social Worker
113459IAMDClinical Social Worker
6801095155MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Anxiety & Ocd Treatment Services, PLLC CurrentSince Aug 13, 2023 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": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1962749705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 WESTOWN PKWY STE 200-154",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502667723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 WESTOWN PKWY STE 200-154",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502667723",
            "telephone_number": "515-216-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUNNARAH",
        "first_name": "ANGELA",
        "middle_name": "AYOUB",
        "credential": "M.S.W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-14",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801095155",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "113459",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "4298C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "AYOUB",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.