Individual provider Active NPI

Stephanie Lee

  • School Social Worker
  • Des Moines, IA
National Provider Identifier
1063677037
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
01090 Issued in IA
Practice address
808 5TH Ave
Des Moines, IA 50309-1307
Phone
(515) 244-2267
NPI assigned
Jul 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 01090 IA Primary

Addresses

Primary practice location

808 5TH Ave
Des Moines, IA 50309-1307

Mailing address

808 5TH Ave
Des Moines, IA 50309-1307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161230000637 IA Practitioner - Clinical Social Worker 4789965971 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4949 Westown Pkwy
Suite 100
West Des Moines, IA 50266-6704
Phone (515) 329-9039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
01090IAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Starting New Chapters LLC CurrentSince Feb 28, 2024 Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Feb 14, 2021 Accepting new patients

Locations

2720 8th St SW
Altoona, IA 50009
Phone (515) 957-8609

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

1215 Pleasant St
Ste 300
Des Moines, IA 50309
Phone (515) 241-6178

700 E University Ave
Des Moines, IA 50316
Phone (515) 263-5120

6000 University Ave
Ste 200
West Des Moines, IA 50266
Phone (515) 241-2300

4949 Westown Pkwy
Ste 100
West Des Moines, IA 50266
Phone (515) 225-7001

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216339200000",
    "number": "1063677037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 5TH AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 5TH AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091307",
            "telephone_number": "515-244-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-18",
        "last_updated": "2008-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "IA",
            "license": "01090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.