Active NPI
Lisa Louise Dittmer, LISW
- Clinical Social Worker
- West Des Moines, IA
National Provider Identifier
1053389155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 02271
- Practice address
- 1003 Grand Avenue
West Des Moines, IA 50265-3502 - Phone
- (515) 267-1003
- Fax
- (515) 267-0100
- NPI assigned
- Mar 14, 2006
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 02271 | IA | Primary |
Addresses
Primary practice location
1003 Grand Avenue
West Des Moines, IA 50265-3502
Mailing address
1003 Grand Avenue
West Des Moines, IA 50265-3502
Phone (515) 267-1003
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1045898 | Medicaid | IA | |
| 49480 | Other | IA | BLUE SHIELD |
| IA0127 | Other | IA | JOHN DEERE HC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Feb 14, 2011 through Feb 14, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02271 | IA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kavalier & Associates PC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1053389155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1003 GRAND AVENUE",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502653502",
"telephone_number": "515-267-1003",
"fax_number": "515-267-0100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 GRAND AVENUE",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502653502",
"telephone_number": "515-267-1003",
"fax_number": "515-267-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DITTMER",
"first_name": "LISA",
"middle_name": "LOUISE",
"name_prefix": "Miss",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "02271",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1045898",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "49480",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE HC",
"identifier": "IA0127",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.