Healthcare Provider Details

I. General information

NPI: 1871412338
Provider Name (Legal Business Name): ALLYSON ELLEN FARLEY MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 GRAND AVE
DES MOINES IA
50312-5342
US

IV. Provider business mailing address

405 S DODGE ST APT 3
IOWA CITY IA
52240-5009
US

V. Phone/Fax

Practice location:
  • Phone: 515-512-9065
  • Fax:
Mailing address:
  • Phone: 319-931-5069
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number138390
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: