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EMILY D MCGAFFIN LISW
NPI 1194059402
Social Worker - Clinical in Sioux City, IA

Active since September 21, 2009PECOS EnrolledAccepts Medicare Assignment
4501 MANOR CIR, SIOUX CITY, IA 51104(712) 574-0427 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Emily D Mcgaffin Lisw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMILY D MCGAFFIN LISW (NPI 1194059402) is an individual clinical provider in Sioux City, Iowa, licensed in Iowa (076487) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1194059402
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameEMILY D MCGAFFINCredential: LISW
Location Address4501 MANOR CIRSioux City, IA 51104-1046
Mailing Address4501 Manor CirSioux City, IA 51104-1046 · (712) 574-0427
Phone(712) 574-0427
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateSeptember 21, 2009
Last NPPES UpdateOctober 9, 2023
NPPES CertifiedOctober 9, 2023
✔ NPI 1194059402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in IA · 076487✔ Licensed in WY · 664
Definition
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.
4501 MANOR CIR, Sioux City, IA 51104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Insurance Company, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Emily D Mcgaffin Lisw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103963681
PECOS Enrollment IDI20150526001068
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Emily Mcgaffin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Siouxland Mental Health Services, Inc.
3.7 mi
Community/Behavioral Health
625 COURT ST
Sioux City, IA 51101
  • Reassigned Medicare billing, Iowa enrollment
  • 34 clinicians in this Medicare group
NPI 1952529950 (712) 252-3871

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.96 – $161.40
Typical copayment $0.00 (range $13.24 – $40.35)
Most-billed visit code NA
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emily Mcgaffin's NPI number?

The NPI number for Emily Mcgaffin is 1194059402. It was assigned to this individual provider in the NPPES registry on September 21, 2009.

Where is Emily Mcgaffin located?

Emily Mcgaffin practices at 4501 Manor Cir, Sioux City, IA 51104. The listed phone number is (712) 574-0427.

What is Emily Mcgaffin's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Emily Mcgaffin enrolled in Medicare?

Yes. Emily Mcgaffin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Emily Mcgaffin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Mcgaffin reassigns Medicare benefits to Siouxland Mental Health Services, Inc. (Sioux City, IA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Emily Mcgaffin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emily Mcgaffin accept?

Health plans from Oscar Health, Oscar Insurance Company and Sanford Health Plan list Emily Mcgaffin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Emily Mcgaffin was last updated on October 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.