Active NPI
Lindsay M Demarlie, LISW
- Clinical Social Worker
- Clinton, IA
National Provider Identifier
1073024600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 008227
- Practice address
- 1320 19TH Ave NW
Clinton, IA 52732-2752 - Phone
- (563) 243-5633
- Fax
- (563) 243-9567
- NPI assigned
- Oct 23, 2017
- Last updated
- Apr 8, 2020
- 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 | 008227 | IA | Primary |
Addresses
Primary practice location
1320 19TH Ave NW
Clinton, IA 52732-2752
Mailing address
1320 19TH Ave NW
Clinton, IA 52732-2752
Phone (563) 243-5633
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2240 9TH St
Suite 4
Coralville, IA 52241-1507
Phone (319) 800-5564
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586304000000",
"number": "1073024600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 19TH AVE NW",
"city": "CLINTON",
"state": "IA",
"postal_code": "527322752",
"telephone_number": "563-243-5633",
"fax_number": "563-243-9567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 19TH AVE NW",
"city": "CLINTON",
"state": "IA",
"postal_code": "527322752",
"telephone_number": "563-243-5633",
"fax_number": "563-243-9567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMARLIE",
"first_name": "LINDSAY",
"middle_name": "M",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-23",
"last_updated": "2020-04-08",
"certification_date": "2020-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "008227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.