Active NPI
Angela Ayoub Shunnarah, M.S.W
- Clinical Social Worker
- West Des Moines, IA
National Provider Identifier
1962749705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4298C
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4298C | AL | MD | Clinical Social Worker |
| 113459 | IA | MD | Clinical Social Worker |
| 6801095155 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anxiety & Ocd Treatment Services, PLLC | Current | 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.
-
- Clinical Psychologist
- West Des Moines, IA
- NPI 1891314969
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.