Individual provider Active NPI

Elaine Aubin Oneal, LISW

  • Clinical Social Worker
  • Ames, IA
National Provider Identifier
1972538866
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06469 Issued in IA
Practice address
4611 Mortensen Rd Ste 101
Ames, IA 50014-6228
Phone
(207) 404-0560
Fax
(515) 232-1835
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 06469 IA Primary

Addresses

Primary practice location

4611 Mortensen Rd Ste 101
Ames, IA 50014-6228

Mailing address

4611 Mortensen Rd Ste 101
Ames, IA 50014-6228
Phone (515) 526-5948

Other identifiers 1

IdentifierTypeStateIssuer
0039339MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050304000241 IA Practitioner - Clinical Social Worker 2668426495 Practice locations: Ames, IA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06469IAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Harbour Counseling Current Accepting new patients
Community and Family Resources Past Accepting new patients
The Richmond Center PastSince Jun 26, 2008 Accepting new patients

Locations

4611 Mortensen Rd
Ste 101
Ames, IA 50014
Phone (515) 207-3355

Organizations & group practices 3

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1972538866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 MORTENSEN RD STE 101",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500146228",
            "telephone_number": "515-526-5948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 MORTENSEN RD STE 101",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500146228",
            "telephone_number": "207-404-0560",
            "fax_number": "515-232-1835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONEAL",
        "first_name": "ELAINE",
        "middle_name": "AUBIN",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "06469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0039339",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

Verify at the official NPI Registry.