Healthcare Provider Details

I. General information

NPI: 1003743592
Provider Name (Legal Business Name): ANNIE FELDSTEIN LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANNE ISABELLE FELDSTEIN LMSW

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3255 WILLIAMS BLVD SW
CEDAR RAPIDS IA
52404-1480
US

IV. Provider business mailing address

411 3RD ST SE STE 607
CEDAR RAPIDS IA
52401-1880
US

V. Phone/Fax

Practice location:
  • Phone: 319-800-5564
  • Fax:
Mailing address:
  • Phone: 847-309-1874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number136784
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: