LAURA ELIZABETH SIDDALL (NPI# 1639650344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639650344 |
| Entity Type | Individual |
| Full Name | LAURA ELIZABETH SIDDALL |
| Practice Address |
5406 Merle Hay Rd Johnston IA 50131-1209 |
| Practice Telephone | 5157278750 |
| Practice Fax Number | 5157278757 |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2018-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
091148 | IA | Behavioral Health & Social Service Providers |
| Street Address |
5406 MERLE HAY RD |
| City | JOHNSTON |
| State | IA |
| Zip Code | 50131-1209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346291184 | Fredrick T Klingbeil | Physical Medicine & Rehabilitation | 5406 Merle Hay Rd, Johnston, IA 50131-1209 | 2006-05-15 |
| 1134735731 | Jerica Balousek | Speech-Language Pathologist | 5406 Merle Hay Rd, Johnston, IA 50131-1209 | 2020-09-18 |
| 1740896372 | Danielle Hubby | Occupational Therapist | 5406 Merle Hay Rd, Johnston, IA 50131-1209 | 2020-09-18 |
| 1891306569 | Bonnie Keller | Occupational Therapist | 5406 Merle Hay Rd, Johnston, IA 50131-1209 | 2020-08-14 |
| 1154932853 | Abbigayle Ruthann Kay | Speech-Language Pathologist | 5406 Merle Hay Rd, Johnston, IA 50131-1209 | 2020-08-14 |
| 1043829617 | Whitney Peitz | Behavioral Analyst | 5406 Merle Hay Rd, Johnston, IA 50131-1209 | 2020-07-29 |
| 1023627643 | Taylor Dalbey | Occupational Therapist | 5406 Merle Hay Rd, Johnston, IA 50131-1209 | 2020-07-29 |
| 1265069124 | Virginia Bantz | Occupational Therapist | 5406 Merle Hay Rd, Johnston, IA 50131-1209 | 2020-03-23 |
| 1114557733 | Shawn Kolb | Behavioral Analyst | 5406 Merle Hay Rd, Johnston, IA 50131-1209 | 2020-01-23 |
| 1447880075 | Lindsey Williams | Behavioral Analyst | 5406 Merle Hay Rd, Johnston, IA 50131-1209 | 2020-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568011229 | Joseph Barnard | Technician | 6406 Theresa Dr, Johnston, IA 50131 | 2019-09-05 |
| 1073098208 | Heather Nicole Prettyman | Social Worker | 5406 Marle Hay Rd., Johnston, IA 50131 | 2018-10-03 |
| 1982182606 | Dental Studio of Iowa PC | Dentist | 5495 Nw 100th Street, Johnston, IA 50131 | 2018-08-03 |
| 1982063921 | Braincare, LLC | Physiological Laboratory | 6165 Nw 86th St Ste 130, Johnston, IA 50131 | 2016-02-18 |
| 1104293570 | Sarah Michelle Fees | Nurse Practitioner | 8605 Chambery Blvd, Johnston, IA 50131 | 2015-09-01 |
| 1013329978 | Jonathan Jeffrey Karch | Dentist | 5495 Nw 100th St, Johnston, IA 50131 | 2014-05-27 |
| 1053757500 | Patricia L Hart | Social Worker | 6061 Bradford Ln, Johnston, IA 50131 | 2013-05-10 |
| 1205105855 | Lesile Jane Mentele | Pharmacist | 6100 Nw 97th St, Johnston, IA 50131 | 2011-12-27 |
| 1750610812 | Amanda J Moore | Chiropractor | 8671 Northpark Ct, Johnston, IA 50131 | 2009-12-18 |
| 1225293426 | Center for Maximized Living, LLC | Chiropractor | 8671 Northpark Ct., Johnston, IA 50131 | 2008-07-28 |
| Find all providers in zip 50131 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073098208 | Heather Nicole Prettyman | Social Worker | 5406 Marle Hay Rd., Johnston, IA 50131 | 2018-10-03 |
| 1306382932 | Marcie E Diorio | Social Worker | 1126 Hartford Avenue Tri-county Community Action Agency, Johnston, RI 02919 | 2017-01-06 |
| 1073964607 | Clinton C. Crete | Social Worker | 108 Peck Hill Rd, Johnston, RI 02919-5603 | 2016-06-24 |
| 1265800064 | Johanna Rachael Guerdet | Social Worker | 5408 Nw 88th St Ste 130, Johnston, IA 50131-2953 | 2015-09-10 |
| 1053757500 | Patricia L Hart | Social Worker | 6061 Bradford Ln, Johnston, IA 50131 | 2013-05-10 |
| 1457661076 | Lynne M Di Padua | Social Worker | 3 Michael St, Johnston, RI 02919-6212 | 2010-10-16 |
| 1225156409 | Randi Braunstein | Social Worker | 1974 Atwood Ave, Johnston, RI 02919-3230 | 2007-03-27 |
| 1801952924 | Jeanne Bazelak | Social Worker | 1308 Atwood Ave, Johnston, RI 02919-4936 | 2007-01-01 |
| 1255495271 | Ann M. Pruefer | Social Worker | 540 Greenville Ave, Johnston, RI 02919-2217 | 2006-12-21 |
| 1770669004 | Ellen Gorden Bruce | Social Worker | 1308 Atwood Avenue, Johnston, RI 02919-4936 | 2006-10-30 |
| Find all providers in JOHNSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.