Provider Demographics
NPI:1629565387
Name:MAHER, NAKOMIS (MSW, LISW)
Entity Type:Individual
Prefix:
First Name:NAKOMIS
Middle Name:
Last Name:MAHER
Suffix:
Gender:F
Credentials:MSW, LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2333 SW PLAZA PKWY APT 223
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50023-7258
Mailing Address - Country:US
Mailing Address - Phone:717-371-7545
Mailing Address - Fax:
Practice Address - Street 1:6950 NE 14TH ST STE 36
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50023-8903
Practice Address - Country:US
Practice Address - Phone:515-289-1515
Practice Address - Fax:515-289-1511
Is Sole Proprietor?:No
Enumeration Date:2018-04-18
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW134954104100000X
IA0917791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker