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MRS. ANNIKA KRISTINE OMELIA LISW
NPI 1861767022
Social Worker - Clinical in Davenport, IA

Active since March 20, 2012Opted out of Medicare · through Sep 13, 2027
1510 E RUSHOLME ST, DAVENPORT, IA 52803(563) 359-6633(563) 359-5261 Get Directions Write a Review

NPPES record last updated: November 1, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Annika Kristine Omelia Lisw NPPES

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

MRS. ANNIKA KRISTINE OMELIA LISW (NPI 1861767022) is an individual clinical provider in Davenport, Iowa, licensed in Iowa (007439) and active in the NPI registry since March 2012. She has opted out of Medicare through September 13, 2027.

NPPES Registry Identity

NPI1861767022
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. ANNIKA KRISTINE OMELIACredential: LISW
Location Address1510 E RUSHOLME STDavenport, IA 52803-2463
Mailing Address1510 E Rusholme StDavenport, IA 52803-2463 · (563) 359-6633 · Fax (563) 359-5261
Phone(563) 359-6633
Fax(563) 359-5261
Sole ProprietorNo
Enumeration DateMarch 20, 2012
Last NPPES UpdateNovember 1, 2013
✔ NPI 1861767022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IA · 007439
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.
1510 E RUSHOLME ST, Davenport, IA 52803
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Annika Kristine Omelia Lisw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 13, 2021 through September 13, 2027.

Opt-Out Effective DateSeptember 13, 2021
Opt-Out In Effect ThroughSeptember 13, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEE MISIAG ARNP
Nurse Practitioner (Family)
1510 E RUSHOLME ST
DAVENPORT, IA 52803
Scott County (563) 336-3000
CLARE BEVIN HARNEY M.D.
Obstetrics & Gynecology
1510 E RUSHOLME ST
DAVENPORT, IA 52803
Scott County (563) 336-3000
LABORATORY CORPORATION OF AMERICA HOLDINGS
Clinical Medical Laboratory
1510 E RUSHOLME ST
DAVENPORT, IA 52803
Scott County (563) 214-1001
TAMI KAY SHELDON ARNP
Nurse Practitioner (Women's Health)
1510 E RUSHOLME ST
DAVENPORT, IA 52803
Scott County (563) 359-6633
REBECCA WAGSCHAL ARNP, CNM
Midwife
1510 E RUSHOLME ST
DAVENPORT, IA 52803
Scott County (563) 336-3000
EDGERTON WOMENS HEALTH CENTER
Specialist
1510 E RUSHOLME ST
DAVENPORT, IA 52803
Scott County (563) 359-6633
QUEST DIAGNOSTICS LLC IL
Clinical Medical Laboratory
1510 E RUSHOLME ST
DAVENPORT, IA 52803
Scott County (866) 697-8378
MRS. LAURA ELIZABETH SIERRA CNM
Advanced Practice Midwife
1510 E RUSHOLME ST
DAVENPORT, IA 52803
Scott County (563) 336-3000

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 Annika Omelia's NPI number?

The NPI number for Annika Omelia is 1861767022. It was assigned to this individual provider in the NPPES registry on March 20, 2012.

Where is Annika Omelia located?

Annika Omelia practices at 1510 E Rusholme St, Davenport, IA 52803. The listed phone number is (563) 359-6633.

What is Annika Omelia's specialty?

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

Is Annika Omelia enrolled in Medicare?

No. Annika Omelia has opted out of Medicare through September 13, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Annika Omelia was last updated on November 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.